Healthcare Provider Details

I. General information

NPI: 1760338222
Provider Name (Legal Business Name): CORY BROWN DPT
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1841 E RIVERSIDE DR STE 101
SAINT GEORGE UT
84790-7063
US

IV. Provider business mailing address

555 S BLUFF ST STE 102
SAINT GEORGE UT
84770-7321
US

V. Phone/Fax

Practice location:
  • Phone: 435-215-7570
  • Fax: 435-215-1844
Mailing address:
  • Phone: 435-215-1866
  • Fax: 435-215-1844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number8818055-2401
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: