| NPI | 1508281254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA RACHAEL NIELSON Office Manager 801-996-3626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2018-01-12 |