| NPI | 1265796866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DAVID ANDERSON President 801-489-5633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 310372-2401) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: UT 310372-2401) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2015-07-24 |