| NPI | 1992355630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGAN ARCHIBALD Owner 435-640-1353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 208D00000X General Practice |
| 171100000X Acupuncturist | |
| Enumeration Date | 2019-09-15 |
| Last Update Date | 2020-07-07 |