| NPI | 1699269928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LUCILLE COOLEY Owner/ Physical Therapist 801-550-0373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MO LC001588222) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |