NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1447275946 |   |   |   | SPINE ORTHOPEDIC AND SPORTS PHYSICAL THERAPY LLC | 3303 N UNIVERSITY AVE | PROVO | UT | 846044438 |
1821083361 | ARCHIBALD | DAVID | BLAINE |   | PO BOX 307 | BOUNTIFUL | UT | 840110307 |
1720167752 | BLISS | BRANDON | KENNETH |   | PO BOX 307 | BOUNTIFUL | UT | 840110307 |
1639820103 | HURD | RYAN | DAVID |   | 3303 N UNIVERSITY AVE | PROVO | UT | 846044438 |
1649437799 | LILLYWHITE | DAN | ROSS |   | 3303 N UNIVERSITY AVE | PROVO | UT | 846044438 |
1720632623 | NIELSON | RILEY |   |   | 3303 N UNIVERSITY AVE | PROVO | UT | 846044438 |
1528089224 | PETERSON | MARK |   |   | 3303 NORTH UNIVERSITY AVENUE | PROVO | UT | 84604 |
1437383890 | TAYLOR | KIMBALL | ROGAN |   | 3303 N UNIVERSITY AVE | PROVO | UT | 846044438 |
1356333611 | TAYLOR | ROGAN | L |   | 3303 N UNIVERSITY AVE | PROVO | UT | 846044438 |
1811962541 | TURNER | JAY | D |   | 3303 N UNIVERSITY AVE | PROVO | UT | 846044438 |