| NPI | 1083182265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK NIELSEN Owner/Physical Therapist 801-663-4092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2021-08-27 |