Individual
JOHN WILLMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
48 WEST 1600 NORTH, NEPHI, UT 84648
(435) 623-3045
(435) 623-3046
Mailing address
887 N 800 E, NEPHI, UT 84648-1309
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1211348-2401
UT
225100000X
Physical Therapist
1983
UT
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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