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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JONATHAN LAVAN BUNDY, PT, DPT

Active Sole Proprietor

JONATHAN LAVAN BUNDY, PT, DPT is a Physical Therapy Assistant healthcare provider located in PROVIDENCE, Utah. NPI 1255738118 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · PROVIDENCE, UT

Registration Details

NPI Number
1255738118
Provider Type
Individual
Gender
Male
NPI Issued
Nov 20, 2014 (11.696802800372 yrs)
Last Updated
Jun 5, 2022
Sole Proprietor
Yes

Practice Information

Address
267 N SPRING CREEK PKWY
PROVIDENCE, UT, 843329775
Browse UT providers · Browse ZIP 84332
Phone
4357929400
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in PROVIDENCE, UT

Name Credential NPI
MR. JOHN W PAYNE PT 1760560700
MARTIN LEE ANDERSON PT 1730227778
DARIN ANDREW CHASE PT 1063550028
CAMILLE PORTER 1881920403
ERIN CAMPBELL DPT 1821421710
KELLIE WHITON PT, DPT 1326595760
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.