| NPI | 1003869538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK A BOWSER Owner/Physical Therapist 801-773-1350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: UT 115859-2401) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2023-03-01 |