Individual
STEVEN MORRIS BLANTHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1750 N WYMOUNT TERRACE DR, BYU STUDENT HEALTH CENTER, PROVO, UT 84604-8600
(801) 422-9735
Mailing address
1750 N WYMOUNT TERRACE DR, BYU STUDENT HEALTH CENTER, PROVO, UT 84604-8600
(801) 422-9735
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
267130-2401
UT
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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