Healthcare Provider Details

I. General information

NPI: 1770601262
Provider Name (Legal Business Name): JAMES S. HORROCKS PT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6717 S 900 E STE 201
MIDVALE UT
84047-5755
US

IV. Provider business mailing address

9070 W CHEYENNE AVE STE 100
LAS VEGAS NV
89129-8935
US

V. Phone/Fax

Practice location:
  • Phone: 801-649-4690
  • Fax: 801-984-4011
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number11795569-2401
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: