| NPI | 1336413798 |
|---|---|
| Doing Business As | IMPACKT PHYSICAL THERAPY AND SPORTS RECOVERY |
| Entity Type | Organization |
| Authorized Contact | BRODIE JAMES PACK President/Physical Therapist 801-260-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 28869) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 28869) |
| 225100000X Physical Therapist | |
| 2251H1200X Physical Therapist, Hand (Licence: CA 28869) | |
| 2251S0007X Physical Therapist, Sports (Licence: CA 28869) | |
| 2251S0007X Physical Therapist, Sports | |
| 2251X0800X Physical Therapist, Orthopedic | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2023-02-07 |