Organization
WEBB PHYSICAL THERAPY INC.
Active
Other names
Horizon Balance and Dizziness
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT WEBB (PRESIDENT)
(801) 479-5777
Entity
Organization
Contact information
Practice address
1452 E RIDGELINE DR, #51, SOUTH OGDEN, UT 84405-4946
(801) 479-5777
(801) 479-7005
Mailing address
1452 E RIDGELINE DR, #51, SOUTH OGDEN, UT 84405-4946
(801) 479-5777
(801) 479-7005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
120650-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
527836568012
—
UT
01
—
52783656808001
BCBS TRAD. PROVIDER #
UT
01
—
577514
DMBA PROVIDER #
UT
01
—
TPRA10491
MOLINA PROVIDER #
UT
Enumeration date
05/19/2006
Last updated
08/22/2020
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