Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 285255-2401 | UT |
NPI | 1003907502 |
---|---|
Provider Name | Todd Harold Schmidt |
First Address | Bountiful, UT 84010-5147 |
Second Address | South Jordan, UT 84095-5650 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 01/02/2008 |