| NPI | 1275731291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIE DOYLE BURT Owner Member 435-229-9929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: UT 347017-2401) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |