| NPI | 1336413798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRODIE JAMES PACK President/Physical Therapist 801-260-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251S0007X Physical Therapist Sports |
| 2251X0800X Physical Therapist Orthopedic | |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2025-01-21 |