# CANYON SPORTS THERAPY INC

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

## Provider details

- **NPI number:** 1083920052
- **Authorized official:** BEATRICE M MONTEYNE (CFO)
- **Authorized official phone:** (801) 243-0014

## Contact information

- **Practice address:** 6069 HIGHLAND DR, HOLLADAY, UT 84121-1375
- **Practice address phone:** (801) 944-1209
- **Practice address fax:** (801) 274-1180
- **Mailing address:** PO BOX 71403, SALT LAKE CITY, UT 84171-0403
- **Mailing address phone:** (801) 944-1209
- **Mailing address fax:** (801) 274-1180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 121600-2401 | UT | Yes |

## Other

- **Enumeration date:** 08/27/2010
- **Last updated:** 09/09/2015