# LIFE ELEVATED PHYSICAL THERAPY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1063033587
- **Authorized official:** LORI THOMPSON PT, DPT, NCS (PHYSICAL THERAPIST)
- **Authorized official phone:** (435) 230-1062

## Contact information

- **Practice address:** 750 W 1075 S STE E, BRIGHAM CITY, UT 84302-3264
- **Practice address phone:** (435) 230-1062
- **Mailing address:** 970 W 520 N, TREMONTON, UT 84337-2414
- **Mailing address phone:** (435) 230-1062

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/06/2020
- **Last updated:** 05/06/2020