Provider Demographics
NPI:1104907096
Name:HIMELRIGHT, LANCE (PT)
Entity type:Individual
Prefix:
First Name:LANCE
Middle Name:
Last Name:HIMELRIGHT
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1062 E. RIVERSIDE DRIVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790
Mailing Address - Country:US
Mailing Address - Phone:435-525-1877
Mailing Address - Fax:435-215-7665
Practice Address - Street 1:1062 E. RIVERSIDE DRIVE
Practice Address - Street 2:SUITE 204
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790
Practice Address - Country:US
Practice Address - Phone:435-525-1877
Practice Address - Fax:435-215-7665
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT120403-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist