| NPI | 1255347654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LANCE DOUGHER Owner, PT 801-628-1924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 5165580-2401) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2017-03-23 |