Organization
LAYTON PHYSICAL THERAPY & SPORTS MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN J KERBS P.T. (PROVIDER/OWNER)
(801) 728-4624
Entity
Organization
Contact information
Practice address
1868 N. 1200 W., STE #A, LAYTON, UT 84041-1937
(801) 728-4624
(801) 776-3087
Mailing address
1868 N. 1200 W., STE #A, LAYTON, UT 84041-1937
(801) 728-4624
(801) 776-3087
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
274721-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000057903
MEDICARE PTAN
UT
05
—
528132106010
—
UT
Enumeration date
01/24/2007
Last updated
04/20/2017
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