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

MR. WYATT D BANKS, PT

Active

MR. WYATT D BANKS, PT is a Physical Therapy Assistant healthcare provider located in ENTERPRISE, Utah. NPI 1417000753 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · ENTERPRISE, UT

Registration Details

NPI Number
1417000753
Provider Type
Individual
Gender
Male
NPI Issued
Jan 19, 2007 (19.530114070633 yrs)
Last Updated
Jan 23, 2020
Licenses
0652 (NV)
3082713-2401 (UT)

Practice Information

Address
660 E MAIN ST BLDG B
ENTERPRISE, UT, 847250549
Browse UT providers · Browse ZIP 84725
Phone
4358782722
Fax
4358782723
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in ENTERPRISE, UT

Name Credential NPI
MR. LONNIE J TRUMAN PT 1477717601
MARCUS T BURTON PT, DPT 1114396702
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.