| NPI | 1053174417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BATE Treasurer 801-915-5281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 152W00000X Optometrist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-03-18 |