Organization
FORTIFY PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON LAYNE HARPER PT (OWNER)
(208) 431-0211
Entity
Organization
Contact information
Practice address
792 S 3000 E, ST. GEORGE, UT 84790
(208) 431-0211
Mailing address
792 S 3000 E, ST. GEORGE, UT 84790
(208) 431-0211
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30238
PHYSICAL THERAPY LICENSE
AZ
Enumeration date
01/04/2021
Last updated
06/22/2021
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