| NPI | 1396840310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE TREACY Owner 801-566-6433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT 56814) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |