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NPI Code Detail

MEDICARE: TORI B FORSYTH P.T.

MEDICARE: TORI B FORSYTH P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist121010-2401UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1107007312103OTHERUTSELECT HEALTH
259793OTHERUTPEHP
3PRA03875OTHERUTMOLINA

General Provider Information

NPI Number : 1417976499
Entity Type Code : Individual
Provider Name (Legal Business Name) : TORI B FORSYTH P.T.
Provider Business Mailing Address
First Line : 166 W 1325 N
Second Line : STE 100
City : CEDAR CITY
State : UT
Zip : 84720-7792
Country : US
Telephone Number : 435-586-0064
Fax Number : 435-867-1243
Provider Business Practice Location Address
First Line : 166 W 1325 N
Second Line : STE 100
City : CEDAR CITY
State : UT
Zip : 84720-7792
Country : US
Telephone Number : 435-586-0064
Fax Number : 435-867-1243
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

1164455887 — MR. BRADY K ENGLESTEAD M.P.T.
Practice Location Address:
166 W 1325 N , SUITE 100
CEDAR CITY, UT
84720-7792
Practice Phone: 435-586-0064
Practice Fax: 435-867-1243
1780600049 — MR. ADAM L MENDENHALL M.P.T.
Practice Location Address:
166 W 1325 N , SUITE 100
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84720-7792
Practice Phone: 435-586-0064
Practice Fax: 435-867-1243
1386660637 — MR. GAIL TYLER BRINKERHOFF M.S.P.T.
Practice Location Address:
166 W 1325 N , SUITE 100
CEDAR CITY, UT
84720-7792
Practice Phone: 435-586-0064
Practice Fax: 435-867-1243
1528087236 — MICHAEL G STULTS MD
Practice Location Address:
166 W 1325 N , #350
CEDAR CITY, UT
84720-7792
Practice Phone: 435-586-8192
Practice Fax:
1780606848 — CHAD R FLETCHER O.T.R.L
Practice Location Address:
166 W 1325 N , STE 100
CEDAR CITY, UT
84720-7792
Practice Phone: 435-586-0064
Practice Fax: 435-867-1243
1194735225 — GARLAND EARWOOD O.T. R. L.
Practice Location Address:
166 W 1325 N , STE 100
CEDAR CITY, UT
84720-7792
Practice Phone: 435-586-0064
Practice Fax: 435-867-1243

Directions to “ TORI B FORSYTH P.T.” Practice Location

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