NPI | 1003186669 |
---|---|
Doing Business As | THE ATHLETE WITHIN |
Entity Type | Organization |
Authorized Contact | KARIE GIBBONS Owner/Medical Director 801-512-3647 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 7014647-2401) |
Enumeration Date | 2012-01-12 |
Last Update Date | 2012-01-12 |