Graduated: 1988
NPI: 1174696918
Practice Locations (2)
1551 RENAISSANCE TOWNE DR, SUITE 420
BOUNTIFUL, UT 840107667
SPORTSMED PHYSICAL THERAPY OF BOUNTIFUL A PROFESSIONAL CORP
1551 RENAISSANCE TOWNE DR, SUITE 420
BOUNTIFUL, UT 840107677
8012958999
Source: CMS National Downloadable File, September 2026.