| NPI | 1467562694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN SHUPE Owner/Physical Therapist 801-947-8449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: UT 1449C) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-03-27 |