| NPI | 1508531815 |
|---|---|
| Doing Business As | CUSTOM PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | ANGELA KNOWLES SMITH Owner/CEO 435-229-7567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2021-11-04 |