| NPI | 1346895935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY EUGENE SPEICHER President 801-689-2546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer |
| 225700000X Massage Therapist | |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2020-01-31 |