| NPI | 1225415086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DARRELL BUTLER Owner/Director 801-980-0860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 6630361-2401) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2019-01-22 |