Provider Demographics
NPI:1467649236
Name:TOWNSEND, DARRIN S (MPT)
Entity type:Individual
Prefix:
First Name:DARRIN
Middle Name:S
Last Name:TOWNSEND
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 N COMMERCIAL ST STE 103
Mailing Address - Street 2:
Mailing Address - City:MORGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84050-9573
Mailing Address - Country:US
Mailing Address - Phone:801-845-1403
Mailing Address - Fax:801-845-1404
Practice Address - Street 1:103 N COMMERCIAL ST STE 103
Practice Address - Street 2:
Practice Address - City:MORGAN
Practice Address - State:UT
Practice Address - Zip Code:84050-9573
Practice Address - Country:US
Practice Address - Phone:801-845-1403
Practice Address - Fax:801-845-1404
Is Sole Proprietor?:No
Enumeration Date:2007-09-26
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT350499-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist