ADVANCED PHYSICAL THERAPY AND SPORTS MEDICINE NPI 1225351570

NPI Information

ADVANCED PHYSICAL THERAPY AND SPORTS MEDICINE is a specialist in Holladay, UT. The provider is 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. ADVANCED PHYSICAL THERAPY AND SPORTS MEDICINE NPI is 1225351570. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

999 MURRAY HOLLADAY ROAD
#102
HOLLADAY, UT
ZIP 84117
Phone: (385) 388-4994
Fax: (435) 654-3314

The provider's authorized official is Willis Clyde .
The authorized official title is Owner/pt and has the following contact phone number (435) 654-0410.

The enumeration date for this NPI number is 3/1/2010 and was last updated on 8/30/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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