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Organization
FOUNDATION PHYSICAL THERAPY
Active
Organization
FOUNDATION PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY JAMES POWELL DPT (CEO)
(801) 419-1196
Entity
Organization
Contact information
Practice address
1628 W 11010 S STE 101, SOUTH JORDAN, UT 84095-1278
(801) 419-1196
Mailing address
1628 W 11010 S STE 101, SOUTH JORDAN, UT 84095-1278
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/12/2021
Last updated
03/30/2026
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