| NPI | 1457774622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGAN J ARCHIBALD President 801-230-1611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: UT 6592169-1205) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: UT 7967318-1201) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2020-07-07 |