| NPI | 1538702709 |
|---|---|
| Doing Business As | BACK2RELIEF OGDEN |
| Entity Type | Organization |
| Authorized Contact | RODOLFO MARTINEZ-FERRATE Clinic Director 801-651-4283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |