Individual
ALAN WILSON BLUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
345 W 600 S STE 200, HEBER CITY, UT 84032-2284
(435) 654-5607
(435) 654-2602
Mailing address
345 W 600 S STE 200, HEBER CITY, UT 84032-2284
(435) 654-5607
(435) 654-2602
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
104587-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870464264000
—
UT
05
—
N0144
—
UT
Enumeration date
02/15/2006
Last updated
05/17/2022
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