| NPI | 1679931075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN P RHODES Owner 801-510-0283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: UT 290734-2401) |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2017-04-27 |