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Organization
POSITIONAL RELEASE THERAPY INSTITUTE LLC
Active
Organization
POSITIONAL RELEASE THERAPY INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY EUGENE SPEICHER PHD, ATC, LAT, CSCS, (PRESIDENT)
(801) 689-2546
Entity
Organization
Contact information
Practice address
1702 E. 5600 S., OGDEN, UT 84403
(801) 689-2546
(385) 206-8657
Mailing address
1702 E. 5600 S., OGDEN, UT 84403
(801) 689-2546
(385) 206-8657
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
2255A2300X
Athletic Trainer
—
NULL
2255A2300X
Athletic Trainer
—
—
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
Other
Enumeration date
08/09/2019
Last updated
01/31/2020
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