| NPI | 1699009696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CLAYTON WATSON Owner 801-673-2910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT 2012-HHA-91251) | |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2022-07-21 |