# PREMIER FAMILY MEDICAL - LINDON PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PREMIER FAMILY MEDICAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134563059
- **Legal business name:** PREMIER FAMILY MEDICAL
- **Authorized official:** HEATHER GUYMON (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (801) 769-2571

## Contact information

- **Practice address:** 275 W 200 N STE 150, LINDON, UT 84042-5011
- **Practice address phone:** (801) 769-2642
- **Practice address fax:** (801) 769-2643
- **Mailing address:** 275 W 200 N, LINDON, UT 84042-5009
- **Mailing address phone:** (801) 769-2571
- **Mailing address fax:** (801) 443-1164

## Taxonomy

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

## Other

- **Enumeration date:** 04/22/2013
- **Last updated:** 03/22/2024