Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARRY D FULLMER
ActivePhysical Therapy Assistant · SANDY, UT
Registration Details
- NPI Number
- 1821075912
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 29, 2005 (20.311302575915 yrs)
- Last Updated
- Feb 14, 2014
- License
-
114098-2401 (UT)
Practice Information
- Address
-
9720 S 1300 E#W200SANDY, UT, 840943712Browse UT providers · Browse ZIP 84094
- Phone
- 8015720690
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SANDY, UT
| Name | Credential | NPI |
|---|---|---|
| GREGORY J GARDNER | — | 1528063575 |
| DR. MOLLY K WILLIAMS | DPT | 1376536987 |
| TREVOR JACK STEVENSON | — | 1982681078 |
| STEVEN R VERHAAREN | — | 1174500268 |
| STANFORD K HIRAI | — | 1972580074 |
| GEORGE A SHIRLEY | — | 1942287040 |
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.