| NPI | 1720148240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY BUSBY Office Manager 801-295-3553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 200631198) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2012-11-16 |