Individual
COREY R VEROSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, FAAOMPT
Contact information
Practice address
1628 W 11010 S STE 101, SOUTH JORDAN, UT 84095-1278
(307) 363-5801
Mailing address
1628 W 11010 S STE 101, SOUTH JORDAN, UT 84095-1278
(307) 363-5801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12040712-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2106429
—
TX
01
—
819T68
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/24/2008
Last updated
10/23/2023
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