Provider Demographics
NPI:1699753020
Name:FASSIO, SILVIA A (PT)
Entity type:Individual
Prefix:
First Name:SILVIA
Middle Name:A
Last Name:FASSIO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 S 700 E
Mailing Address - Street 2:
Mailing Address - City:PRICE
Mailing Address - State:UT
Mailing Address - Zip Code:84501-3128
Mailing Address - Country:US
Mailing Address - Phone:435-613-0330
Mailing Address - Fax:435-613-0302
Practice Address - Street 1:53 S 700 E
Practice Address - Street 2:
Practice Address - City:PRICE
Practice Address - State:UT
Practice Address - Zip Code:84501-3128
Practice Address - Country:US
Practice Address - Phone:435-613-0330
Practice Address - Fax:435-613-0302
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1190402401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist