| NPI | 1336590835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD LEIGH STILSON Physical Therapist Owner 435-781-1502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 72980272401) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |