Organization
BEAR LAKE PHYSICAL AND SPORTS THERAPY PC
Active
Parent organization
BEAR LAKE PHYSICAL AND SPORTS THERAPY PC
Other names
Bear Lake Physical Therapy - Randolph
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEAR LAKE PHYSICAL AND SPORTS THERAPY PC
Authorized official
RUTHANN JARMAN (DIRECTOR)
(833) 946-2777
Entity
Organization
Contact information
Practice address
35 SOUTH MAIN, RANDOLPH, UT 84064
(435) 793-7000
(435) 946-9777
Mailing address
PO BOX 276, GARDEN CITY, UT 84028-0276
(833) 946-2777
(354) 363-3146
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
351974-2401
UT
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
816
RANDOLPH CITY LICENSE
UT
Enumeration date
05/22/2007
Last updated
08/13/2025
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