PROFORM ATHLETICS, LLC

PARK CITY, UT
NPI1689909772
Entity TypeOrganization
Authorized ContactTHOMAS BEZEMER
Owner/Physical Therapist
435-901-1139
Organization Subpart ?No
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: UT  4945243-2401)
Enumeration Date2009-10-08
Last Update Date2009-10-08
Business Address
PROFORM ATHLETICS, LLC
7600 GLENWILD DR
PARK CITY, UT 84098-5587
Phone number: 435-901-1139
Mailing Address
PROFORM ATHLETICS, LLC
7461 BROOK HOLLOW LOOP RD
PARK CITY, UT 84098-8262
Phone number: 435-901-1139