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Organization
PHYSIOFIT RX PLLC
Active
Organization
PHYSIOFIT RX PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CAISSE DPT (OWNER)
(858) 952-4277
Entity
Organization
Contact information
Practice address
2091 E 1300 S STE 203, SALT LAKE CITY, UT 84108-2239
(801) 923-8836
Mailing address
2552 E 1700 S, SALT LAKE CITY, UT 84108-2704
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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