Most Relevant Information
Provider Data
| NPI Number: | 1003823816 |
| Provider Name: | SHAUN P DAHLE PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 350124-2401 |
Most Important Dates
| Enumeration Date: | 08/02/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1400 N 500 E
LOGAN
UT
843412455
Practice Location Phone/Fax
| Phone: | 4357161000 |
| Fax: |
Provider Mailing Location
1400 N 500 E
LOGAN
UT
843412455
Provider Mailing Phone/Fax
| Phone: | 4357161000 |
| Fax: |