| NPI | 1629556055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN JOHN JOHNSON Owner/Physical Therapist 435-817-5408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2018-07-28 |
| Last Update Date | 2018-09-06 |