| NPI | 1164156931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN MORRIS Owner 801-891-1038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2026-01-28 |