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NPI Code Detail

MEDICARE: GERALD H GEURTS PT

MEDICARE:   GERALD H GEURTS  PT
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 Therapist120027-2401UT

General Provider Information

NPI Number : 1669465837
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERALD H GEURTS PT
Provider Business Mailing Address
First Line : PO BOX 307
Second Line :
City : BOUNTIFUL
State : UT
Zip : 84011-0307
Country : US
Telephone Number : 888-700-6907
Fax Number : 801-294-6917
Provider Business Practice Location Address
First Line : 3725 W 4100 S
Second Line :
City : WEST VALLEY CITY
State : UT
Zip : 84120-5530
Country : US
Telephone Number : 801-965-3545
Fax Number : 801-965-3518
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 12/10/2007

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Directions to “ GERALD H GEURTS PT” Practice Location

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