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 | 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 |