NPI | 1831461698 |
---|---|
Entity Type | Organization |
Authorized Contact | REGAN J. ARCHIBALD President 801-582-2011 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: UT 6592169-1205) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: UT 8255186-1202) |
171100000X Acupuncturist (Licence: UT 5743144-1201) | |
2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: UT 8185054-1205) | |
364S00000X Clinical Nurse Specialist (Licence: UT 6272172-4405) | |
Enumeration Date | 2012-02-08 |
Last Update Date | 2019-12-11 |