Individual
TYSON GREENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3895 HARRISON BLVD, OGDEN, UT 84403-2312
(801) 387-7678
Mailing address
PO BOX 25537, SALT LAKE CITY, UT 84125-0537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8390600-2401
UT
261QP2000X
Physical Therapy Clinic/Center
Primary
8390600-2401
UT
Other
Enumeration date
07/08/2019
Last updated
01/30/2026
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