Individual
JUSTIN EBMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
765 E MARKET PLACE DR, SPANISH FORK, UT 84660-1396
(385) 344-5430
Mailing address
PO BOX 25537, SALT LAKE CITY, UT 84125-0537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11772426-2401
UT
225100000X
Physical Therapist
63795
OR
Other
Enumeration date
08/18/2020
Last updated
05/02/2024
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