| NPI | 1750072153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAILEE BURNINGHAM Owner, Physical Therapist 801-510-1319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-05-16 |