Individual
MR. MARK TURESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT ASSISTANT
Contact information
Practice address
1300 N 500 E, LOGAN, UT 84341-2408
(435) 716-2880
Mailing address
1300 N 500 E, LOGAN, UT 84341-2408
(435) 716-2880
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7433517-2402
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7433517-2402
PROFESSIONAL LICENSE
UT
Enumeration date
06/22/2015
Last updated
06/22/2015
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