| NPI | 1356470009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY L THALMAN Owner 435-896-6653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 6234806-2401) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2012-02-15 |