REVITALIZE 3D

PROVO, UT
NPI1568139269
Entity TypeOrganization
Authorized ContactBRIAN PATRICK COLLINS
Owner/CEO
785-477-2647
Organization Subpart ?No
Primary Taxonomy225100000X Physical Therapist
Additional Taxonomies2251E1200X Physical Therapist, Ergonomics
2251G0304X Physical Therapist, Geriatrics
2251H1300X Physical Therapist, Human Factors
2251S0007X Physical Therapist, Sports
2251X0800X Physical Therapist, Orthopedic
Enumeration Date2021-08-30
Last Update Date2022-06-02
Business Address
REVITALIZE 3D
184 W 400 N
PROVO, UT 84601-2855
Phone number: 785-477-2647
Mailing Address
REVITALIZE 3D
1427 S 680 W
PROVO, UT 84601-5544
Phone number: 785-477-2647