| NPI | 1265623805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT M RASMUSSEN Owner 435-283-5662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 4931765-2401) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |