| NPI | 1659931384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER CARK Owner 801-692-3395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 208D00000X General Practice |
| 208VP0000X | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2026-07-29 |