Individual
MR. MICHAEL JONATHAN GREENWOOD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT, MS
Contact information
Practice address
3785 HARRISON BLVD, SUITE 4, OGDEN, UT 84403-2071
(801) 778-0555
(801) 778-0080
Mailing address
3785 HARRISON BLVD., SUITE 4, OGDEN, UT 84403-2071
(801) 778-0555
(801) 778-0080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
348999-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107010498101
INERMOUNTAIN HEALTHCARE
UT
01
—
42384
GEM
UT
01
—
47730
PUBLIC EMPLOYEE HEALTH
UT
01
—
6400165
UNITED HEALTH CARE
UT
01
—
QM0000075876
ALTIUS
UT
Enumeration date
11/16/2005
Last updated
07/08/2007
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