| NPI | 1164935664 |
|---|---|
| Doing Business As | MINUS 250 DEGREES CRYOTHERAPY |
| Entity Type | Organization |
| Authorized Contact | BROCK LARSON ROBERTS Managing Director 801-548-3417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |