| NPI | 1174115992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA FETT Owner/Manager 801-413-3857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2025-01-24 |