| NPI | 1073972006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER CHENEY Manager 801-336-7475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: UT 5309691-1202) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |