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Individual

ADAM BOYD WEBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
272 E CENTER ST, SUITE 103, IVINS, UT 84738-6456
(435) 674-2115
(435) 673-7711
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171
(801) 942-3311
(801) 942-5955

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
52730712401
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1720180599
UT
Enumeration date
09/02/2006
Last updated
06/12/2012
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