Jonathan Lavan Bundy, PT, DPT

NPI #1255738118 in Providence, Utah

Provider Information

NPI Number
1255738118
Entity Type
Individual
Name
Jonathan Lavan Bundy, PT, DPT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
PT, DPT
Enumeration Date
Nov 20, 2014
Last Updated
Jun 5, 2022

Practice Location

Address
267 N SPRING CREEK PKWY
State
Utah
ZIP Code
84332-9775
Phone
(435) 792-9400

Specialties & Taxonomy Codes

Specialty
Counselor
Physical Therapist

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