Organization
ADVANCED PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J JOHNSON PT (OWNER)
(435) 652-4455
Entity
Organization
Contact information
Practice address
1490 E FOREMASTER DR, STE 110, ST GEORGE, UT 84790-4488
(435) 652-4455
(435) 652-4472
Mailing address
PO BOX 428, ST GEORGE, UT 84771-0428
(435) 652-4455
(435) 652-4472
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4706030002
DMERC
UT
Enumeration date
03/03/2008
Last updated
04/20/2008
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