# MCKELL THERAPY GROUP, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023050374
- **Authorized official:** JOHN S MCKELL M.S., P.T. (PRESIDENT)
- **Authorized official phone:** (801) 224-2177

## Contact information

- **Practice address:** 504 E 770 N, OREM, UT 84097-4101
- **Practice address phone:** (801) 224-2177
- **Practice address fax:** (801) 224-2195
- **Mailing address:** 504 E 770 N, OREM, UT 84097-4101
- **Mailing address phone:** (801) 224-2177
- **Mailing address fax:** (801) 224-2195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 3133172401 | UT | Yes |

## Other

- **Enumeration date:** 06/12/2006
- **Last updated:** 10/07/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 518084116022 | — | UT |