| NPI | 1265904064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNY LUMPKIN President 801-440-5592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2022-12-07 |