Most Relevant Information
Provider Data
| NPI Number: | 1003283607 |
| Provider Name: | STEPHEN SOUVALL |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT60567578 |
Most Important Dates
| Enumeration Date: | 08/31/2015 |
| Last Updated: | 08/31/2015 |
Provider Practice Location
5734 W 13400 S
#300
HERRIMAN
UT
840966953
Practice Location Phone/Fax
| Phone: | 8013027232 |
| Fax: |
Provider Mailing Location
5734 W 13400 S
#300
HERRIMAN
UT
840966953
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |