Individual
MR. JOHN W PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
169 N GATEWAY DR STE 210, PROVIDENCE, UT 84332-9805
(435) 701-7010
(435) 701-7012
Mailing address
1392 W 6500 S, HYRUM, UT 84319-7105
(801) 863-0654
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT9170
WA
Other
Enumeration date
11/01/2006
Last updated
02/26/2024
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