Individual
RUSSELL WILLIAM COMSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1205 N FAIRFIELD RD, LAYTON, UT 84041-8300
(619) 871-7825
Mailing address
1238 E 250 N, LAYTON, UT 84040-6709
(801) 807-0113
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7830105-2402
UT
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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