| NPI | 1235482977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ARLENE ITA'AEHAU D PT / Owner 801-479-9865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2020-01-09 |