| NPI | 1134642911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER WILDE Owner, Physical Therapist 801-824-5424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: UT 5647258-2401) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2018-03-17 |