Healthcare Provider Details

I. General information

NPI: 1730254319
Provider Name (Legal Business Name): ZIONS REHABILITATION, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1490 E FOREMASTER DR BLDG B
ST GEORGE UT
84790-4510
US

IV. Provider business mailing address

1490 E FOREMASTER DR BLDG B
ST GEORGE UT
84790-4510
US

V. Phone/Fax

Practice location:
  • Phone: 435-652-4205
  • Fax: 435-688-2078
Mailing address:
  • Phone: 435-652-4205
  • Fax: 435-688-2078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateUT

VIII. Authorized Official

Name: JOHN WAYNE BRAMALL
Title or Position: CEO
Credential:
Phone: 435-652-4205