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General NPI Number Information
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NPI Number | 1144212416
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Entity Type | Individual
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Provider Name | TROY B MARSH PT
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Gender | Male
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 05/20/2013
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Provider Practice Location Address
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Address Line | 1126 N MAIN ST
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City | TOOELE
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State | UT
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Zip | 84074-1699
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Country | US
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Telephone | 435-843-1311
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Fax | 435-843-9486
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Provider Business Mailing Address
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Address Line | PO BOX 307
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City | BOUNTIFUL
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State | UT
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Zip | 84011-0307
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Country | US
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Telephone | 801-294-6907
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Fax | 801-294-6917
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 122084-2401
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License Number State | UT
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