Cervantez, Robert D.

Cervantez, Robert D. is an individual health care provider with primary practice located at 2015 Sidewinder Dr. , Park City UT 84060. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Cervantez, Robert D. can be contacted via phone (435) 645-9095.

Contact Information

Primary practice address
2015 Sidewinder Dr. Park City UT 84060
Phone: (435) 645-9095
Fax: (435) 645-9092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 849822401 Utah
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 284982-2401 Utah

Profile Details

NPI number 1205981628
LBN Legal business name Cervantez, Robert D.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Dec 3rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205981628 NPPES
Utah MEDICAID 280669988016

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