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Organization
UTAH OUTPATIENT PULMONARY REHAB, LLC
Active
Organization
UTAH OUTPATIENT PULMONARY REHAB, LLC
Active
Other names
Jordan Valley Pulmonary Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT THOMPSON P.T. (ADMINISTRATOR)
(801) 706-2964
Entity
Organization
Contact information
Practice address
8785 S JORDAN VALLEY WAY, STE 2, WEST JORDAN, UT 84088-9772
(801) 890-7779
(801) 821-4556
Mailing address
8785 S JORDAN VALLEY WAY, SUITE 2, WEST JORDAN, UT 84088-9772
(801) 890-7779
(801) 821-4556
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
225400000X
Rehabilitation Practitioner
—
—
2278P1005X
Pulmonary Rehabilitation Certified Respiratory Therapist
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
84318600160
UT
Other
Enumeration date
10/05/2012
Last updated
04/01/2016
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