| NPI | 1699159723 |
|---|---|
| Doing Business As | IMPACT PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | JUSTIN DENNIS Owner 801-209-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WY PT1568) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: WY PT 1683) |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2017-02-13 |