NPI | 1023691367 |
---|---|
Doing Business As | MINT PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | BRADLEY ALLEN KLEMETSON Physical Therapist 801-735-7585 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Enumeration Date | 2021-05-04 |
Last Update Date | 2021-05-04 |