Most Relevant Information
Provider Data
| NPI Number: | 1003227406 |
| Provider Name: | GREG CARL NORRIS DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT-3496 |
Most Important Dates
| Enumeration Date: | 05/20/2014 |
| Last Updated: | 05/20/2014 |
Provider Practice Location
3707 N 4100 E
HANSEN
ID
833345059
Practice Location Phone/Fax
| Phone: | 2084206256 |
| Fax: |
Provider Mailing Location
3707 N 4100 E
HANSEN
ID
833345059
Provider Mailing Phone/Fax
| Phone: | 2084206256 |
| Fax: |