Sean Wayne Carey

Individual provider Active NPI Physical Therapist · Hurricane, UT

NPI 1154337178 · NPPES record last updated Jan 24, 2014

Key facts

NPI
1154337178
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
121865-2401 (UT)
Practice address
75 N 2260 W
Hurricane, UT 84737-2034
Phone
(435) 635-6480
Fax
(435) 635-6499
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 121865-2401 UT Yes

Addresses

Primary practice location

75 N 2260 W
Hurricane, UT 84737-2034

Mailing address

1380 E Medical Center Dr
St George, UT 84790-2123
Phone (435) 635-6480

Other providers in Hurricane, UT

All providers in Hurricane, UT · Physical Therapist in Utah

Sources for this page

Verify at the official NPI Registry.