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Organization
ELEVATED PERFORMANCE AND REHABILITATION
Active
Organization
ELEVATED PERFORMANCE AND REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY EUGENE SPEICHER PHD, AT, LAT, CSCS (PRESIDENT)
(801) 689-2546
Entity
Organization
Contact information
Practice address
1710 E 5600 S, OGDEN, UT 84403
(801) 689-2546
Mailing address
1214 E 3150 N, OGDEN, UT 84414-1838
(203) 895-4160
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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