| NPI | 1114715935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON DANIELSON PT 801-450-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2025-06-20 |