# ELITE THERAPY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FYZICAL Therapy and Balance Centers - Draper
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417405952
- **Authorized official:** STEVEN E ROBBINS MSPT, ATC (OWNER)
- **Authorized official phone:** (801) 571-6600

## Contact information

- **Practice address:** 12198 S STATE ST, SUITE 3, DRAPER, UT 84020-9647
- **Practice address phone:** (801) 571-6600
- **Practice address fax:** (801) 571-7646
- **Mailing address:** 12198 S STATE ST, SUITE 3, DRAPER, UT 84020-9647
- **Mailing address phone:** (801) 571-6600
- **Mailing address fax:** (801) 571-7646

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 5401450-2401 | UT | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | 5401450-2401 | UT | — |

## Other

- **Enumeration date:** 09/13/2016
- **Last updated:** 03/30/2017
