| NPI | 1821558024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY CHARLES SCHRAMM Owner 801-989-4645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2025-01-03 |