Individual
DR. ROSS STEPHEN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, GCS, CEEAA
Contact information
Practice address
587 S STATE ST, PROVO, UT 84606-4208
(801) 822-1681
Mailing address
587 S STATE STREET, PROVO, UT 84606
(801) 375-2041
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9053454-2401
UT
2251E1200X
Ergonomics Physical Therapist
905354-2401
UT
2251G0304X
Geriatric Physical Therapist
905354-2401
UT
2251X0800X
Orthopedic Physical Therapist
905354-2401
UT
Other
Enumeration date
06/10/2014
Last updated
05/02/2024
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