# POSITIONAL RELEASE THERAPY INSTITUTE LLC

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

## Provider details

- **NPI number:** 1346895935
- **Authorized official:** TIMOTHY EUGENE SPEICHER PHD, ATC, LAT, CSCS, (PRESIDENT)
- **Authorized official phone:** (801) 689-2546

## Contact information

- **Practice address:** 1702 E. 5600 S., OGDEN, UT 84403
- **Practice address phone:** (801) 689-2546
- **Practice address fax:** (385) 206-8657
- **Mailing address:** 1702 E. 5600 S., OGDEN, UT 84403
- **Mailing address phone:** (801) 689-2546
- **Mailing address fax:** (385) 206-8657

## Taxonomy

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