| NPI | 1700985249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL JENKINS Business Manager 801-479-9865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 109421-2401) |
| 225100000X Physical Therapist (Licence: UT 274724-2401) | |
| 225100000X Physical Therapist (Licence: UT 5936026-2401) | |
| 225100000X Physical Therapist (Licence: UT 5946448-2401) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-01-09 |