| NPI | 1346886116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CADE ARCHIBALD Manager 435-406-1752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 171100000X Acupuncturist |
| 208D00000X General Practice | |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |