| NPI | 1578849246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL ANN FARNSWORTH Owner 801-685-9212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 284377-2401) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |