Provider Demographics
NPI:1134334287
Name:BARTLETT, STEVEN BRETT (PT)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:BRETT
Last Name:BARTLETT
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 307
Mailing Address - Street 2:
Mailing Address - City:BOUNTIFUL
Mailing Address - State:UT
Mailing Address - Zip Code:84011-0307
Mailing Address - Country:US
Mailing Address - Phone:888-700-6907
Mailing Address - Fax:801-294-6917
Practice Address - Street 1:822 E MAIN ST
Practice Address - Street 2:SUITE 4
Practice Address - City:GRANTSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84029-2500
Practice Address - Country:US
Practice Address - Phone:435-882-1263
Practice Address - Fax:435-884-0930
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5134033-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist