Organization · Type 2 NPI
Physical Therapy and Sports Medicine LLC
Specialist · Mountain Green, UT
NPI number
1053573469
Active
Practice location
4883 W. Old Highway Rd.
Mountain Green, UT 84050
Fax (801) 776-3087
Mailing address
1868 N. 1200 W., Ste #A
Layton, UT 84041-1937
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 274721 2401 (UT) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1053573469
Physical Therapy and Sports Medicine LLC's National Provider Identifier is 1053573469, issued on Jun 26, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Mountain Green, UT. The record was last updated on Apr 20, 2017.