| NPI | 1891059192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE W OLSEN President 801-367-1865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 362576-2401) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2012-07-02 |