# UNIVERSITY OF UTAH REHABILITATION AND WELLNESS PROGRAM

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

## Provider details

- **NPI number:** 1538267232
- **Authorized official:** DR. CHARLES GRAYBILL PT (DEPT CHAIR)
- **Authorized official phone:** (801) 587-6470

## Contact information

- **Practice address:** 520 WAKARA WAY, SLC, UT 84108-1213
- **Practice address phone:** (801) 585-2119
- **Mailing address:** PO BOX 581002, SLC, UT 84158-1002
- **Mailing address phone:** (801) 213-3800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 2251G0304X | Geriatric Physical Therapist | — | NULL | — |
| 2251G0304X | Geriatric Physical Therapist | — | — | — |
| 2251H1200X | Hand Physical Therapist | — | NULL | — |
| 2251H1200X | Hand Physical Therapist | — | — | — |
| 2251S0007X | Sports Physical Therapist | — | NULL | — |
| 2251S0007X | Sports Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 09/07/2011