| NPI | 1659397313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW F BUSHNELL Owner 801-830-3034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 4739582-2401) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2023-11-27 |