Organization
PREVENT PHYSICAL THERAPY AND PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYSON CRAVEN DPT, OCS (PHYSICAL THERAPIST)
(801) 690-8119
Entity
Organization
Contact information
Practice address
2001 W 2550 S, WEST HAVEN, UT 84401-1109
(801) 332-9774
Mailing address
3090 S 4300 W, OGDEN, UT 84401-9032
(801) 690-8119
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/05/2024
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