46D0660918 CLIA NUMBER - PROVO REHABILITATION AND NURSING

Laboratory Demographics

CLIA Number: 46D0660918

Facility Name: PROVO REHABILITATION AND NURSING

Facility Address:
1001 N 500 W
PROVO, UT
ZIP 84604
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Facility Phone Number: 801 377-9661

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1912414996

Taxonomy: 261QP2000X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

CLIA Record

Field Name	Field Value
CLIA Number	46D0660918
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	PROVO REHABILITATION AND NURSING
Street	1001 N 500 W
City	PROVO
State	UT
ZIP	84604
Phone	801 377-9661
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024