Individual
SHAUN B ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1794 OLYMPIC PKWY STE 140, PARK CITY, UT 84098-6389
(435) 575-0345
(435) 575-0346
Mailing address
1794 OLYMPIC PKWY STE 140, PARK CITY, UT 84098-6389
(435) 575-0345
(435) 575-0346
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2877622401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D4724
—
UT
Enumeration date
09/13/2006
Last updated
07/19/2013
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