| NPI | 1851725782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN P YOUNG Physical Therapist 801-494-7076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 7624779-2401) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: UT 7624779-2401) |
| 225X00000X Occupational Therapist (Licence: UT 7712326-4201) | |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2016-04-26 |