# PROCARE THERAPY, INC.

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

## Provider details

- **NPI number:** 1265796866
- **Authorized official:** TIMOTHY DAVID ANDERSON MPT (PRESIDENT)
- **Authorized official phone:** (801) 489-5633

## Contact information

- **Practice address:** 1409 W 1400 N, MAPLETON, UT 84664-3358
- **Practice address phone:** (801) 489-5633
- **Mailing address:** 1409 W 1400 N, MAPLETON, UT 84664-3358
- **Mailing address phone:** (801) 489-5633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 310372-2401 | UT | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | 310372-2401 | UT | — |

## Other

- **Enumeration date:** 06/28/2012
- **Last updated:** 07/24/2015