Individual
MR. GRANT LOGAN BLATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
2825 E MALL DR, ST GEORGE, UT 84790-1954
(435) 986-4133
(435) 627-1809
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
281544-2401
UT
Other
Enumeration date
08/01/2006
Last updated
03/04/2025
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