| NPI | 1154169753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI WRIGHT Administrator 801-616-7266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Z00000X Orthotist |
| Additional Taxonomies | 224P00000X Prosthetist |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-07-17 |