| NPI | 1013107838 |
|---|---|
| Doing Business As | MOUNTAIN WEST PT |
| Entity Type | Organization |
| Authorized Contact | RANDY MICHAEL COOPER SVP Finance Operations/AO 615-221-3840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: UT 2500-HOSP-14233) |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech (Licence: UT 2500-HOSP-14233) |
| 261QX0100X Clinic/Center, Occupational Medicine (Licence: UT 2500-HOSP-14233) | |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2020-09-30 |