| NPI | 1932595691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW S NELSON Physical Therapist 801-450-1881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: UT 9321575-0160) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-07-03 |