| NPI | 1770037798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS JENSEN Owner 435-749-1852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: UT 9801659-2401) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: NV 2557) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |