| NPI | 1750550497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYNN CHERIE JOHNSON Manager 801-562-8650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: UT 25163) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |