Individual
BRADLEY D HORROCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
340 EAST MAIN ST, SUITE #4, SANTAQUIN, UT 84655
(801) 754-5700
(801) 754-5700
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171
(801) 942-3311
(801) 942-5955
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5528629 2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D 5368
—
UT
Enumeration date
08/31/2006
Last updated
07/08/2007
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