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NPI Code Detail

MEDICARE: STEVE P LANE DPT

MEDICARE: STEVE P LANE DPT
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 Therapist6171823-2401UT

General Provider Information

NPI Number : 1609889534
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVE P LANE DPT
Provider Business Mailing Address
First Line : PO BOX 5546
Second Line :
City : DENVER
State : CO
Zip : 80217-5546
Country : US
Telephone Number : 801-475-3700
Fax Number : 801-475-3701
Provider Business Practice Location Address
First Line : 1159 12TH ST
Second Line :
City : OGDEN
State : UT
Zip : 84404-5144
Country : US
Telephone Number : 801-475-3700
Fax Number : 801-475-3701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2006
Last Update Date : 01/18/2017

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Directions to “ STEVE P LANE DPT” Practice Location

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