Individual
THOMAS BEZEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7600 GLENWILD DR, PARK CITY, UT 84098-5587
(435) 901-1139
(435) 940-9127
Mailing address
7461 BROOK HOLLOW LOOP RD, PARK CITY, UT 84098-8262
(435) 901-1139
(435) 940-9127
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
49452432401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280669988016
—
UT
Enumeration date
01/24/2007
Last updated
11/30/2017
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