Provider Demographics
NPI:1275731291
Name:SUNSET PHYSICAL THERAPY, L.L.C.
Entity Type:Organization
Organization Name:SUNSET PHYSICAL THERAPY, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LOUIE
Authorized Official - Middle Name:DOYLE
Authorized Official - Last Name:BURT
Authorized Official - Suffix:
Authorized Official - Credentials:MS, PT
Authorized Official - Phone:435-229-9929
Mailing Address - Street 1:1386 MAJESTIC DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84780-2345
Mailing Address - Country:US
Mailing Address - Phone:435-229-9929
Mailing Address - Fax:435-986-1037
Practice Address - Street 1:1812 W SUNSET BLVD STE 17
Practice Address - Street 2:
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-6606
Practice Address - Country:US
Practice Address - Phone:435-229-9929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT347017-2401261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy