| NPI | 1609073741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARTLEY BRETT MORTENSEN President 801-568-0240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 6262252-2401) |
| Additional Taxonomies | 2251E1200X Physical Therapist, Ergonomics (Licence: UT 5571167-2401) |
| 2251S0007X Physical Therapist, Sports (Licence: UT 5132199-2401) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: UT 5132199-2401) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: UT 5571167-2401) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: UT 6262252-2401) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |