# ASHLEY VALLEY MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ashley Valley Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104672179
- **Authorized official:** CHARLOTTE LAWRENCE (SECRETARY)
- **Authorized official phone:** (615) 920-7000

## Contact information

- **Practice address:** 150 W 100 N, VERNAL, UT 84078-2036
- **Practice address phone:** (435) 789-3342
- **Mailing address:** 150 W 100 N, VERNAL, UT 84078-2036
- **Mailing address phone:** (435) 789-3342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 282N00000X | General Acute Care Hospital | — | NULL | — |

## Other

- **Enumeration date:** 04/29/2024
- **Last updated:** 04/29/2024