Organization
SUMMIT PHYSICAL THERAPY & SPORTS MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BYRON H. HORNER M.S.P.T. (OWNER)
(435) 654-0804
Entity
Organization
Contact information
Practice address
228 STATE ROAD 248 STE 248, KAMAS, UT 84036-8505
(435) 654-0804
(435) 654-3314
Mailing address
PO BOX 13, HEBER CITY, UT 84032-0013
(435) 654-0804
(435) 654-3314
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4819784-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529415583005
—
UT
Enumeration date
01/23/2007
Last updated
10/09/2009
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