| NPI | 1104317759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN PHILPOTT Owner/Physical Therapist 801-815-2045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 6662617-2401) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |