| NPI | 1164156931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN BLAKE MORRIS Owner 801-891-1038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2026-05-29 |