| NPI | 1386022036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS M SHEPHERD Physical Therapist 801-781-0651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: UT 4929944-2401) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |