| NPI | 1447640784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FROGLEY Registered Agent 801-726-2338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 5356508-1205) |
| 208100000X Physical Medicine & Rehabilitation (Licence: UT 6344620-1206) | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2018-10-12 |