Individual
MR. RANDY DALE STINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
95 WHITE SAGE AVE STE C, DELTA, UT 84624-5555
(435) 864-2551
(435) 864-3573
Mailing address
95 WHITE SAGE AVE STE C, DELTA, UT 84624-5555
(435) 864-2551
(435) 864-3573
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7702653-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669788725
—
UT
Enumeration date
08/27/2010
Last updated
02/08/2012
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