Provider Demographics
NPI:1710349444
Name:TOOLSON, BENJAMIN (DPT)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:
Last Name:TOOLSON
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1490 E FOREMASTER DR STE 260
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-4502
Mailing Address - Country:US
Mailing Address - Phone:435-523-3799
Mailing Address - Fax:435-523-3376
Practice Address - Street 1:1490 E FOREMASTER DR
Practice Address - Street 2:STE 260
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-4502
Practice Address - Country:US
Practice Address - Phone:435-523-3799
Practice Address - Fax:435-523-3376
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3283225100000X
UT10953735-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist