| NPI | 1003186669 |
|---|---|
| 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 |