| NPI | 1487092995 |
|---|---|
| Doing Business As | SUPER RUNNERS SHOP |
| Entity Type | Organization |
| Authorized Contact | ROBERT J. SHAY Owner / CEO 435-655-8110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Z00000X Orthotist |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-06 |