| 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 | 364S00000X Clinical Nurse Specialist (Licence: UT 6272172-4405) |
| 111N00000X Chiropractor (Licence: UT 8255186-1202) | |
| 171100000X Acupuncturist (Licence: UT 5743144-1201) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: UT 8185054-1205) | |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2019-12-11 |