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Organization
FAST TRACK PHYSICAL THERAPY AND SPORTS MEDICINE, PLLC
Active
Organization
FAST TRACK PHYSICAL THERAPY AND SPORTS MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE A SHIRLEY PT, DPT, MS, ATC (PHYSICAL THERAPIST/OWNER)
(801) 649-4690
Entity
Organization
Contact information
Practice address
6717 SOUTH 900 EAST, SUITE 201, MIDVALE, UT 84047
(801) 649-4690
(801) 984-4011
Mailing address
6717 SOUTH 900 EAST, SUITE 201, MIDVALE, UT 84047
(801) 649-4690
(801) 984-4011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6006997-2401
UT
Other
Enumeration date
12/10/2008
Last updated
07/31/2009
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