# AGILITY PHYSICAL THERAPY AND SPORTS

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

## Provider details

- **NPI number:** 1669665519
- **Authorized official:** MICHAEL BARTHOLOMEW PT (OWNER)
- **Authorized official phone:** (801) 796-1031

## Contact information

- **Practice address:** 435 W CENTER ST, OREM, UT 84057-5336
- **Practice address phone:** (801) 850-5454
- **Practice address fax:** (801) 850-5406
- **Mailing address:** PO BOX 307, BOUNTIFUL, UT 84011-0307
- **Mailing address phone:** (801) 294-6907
- **Mailing address fax:** (801) 294-6917

## Taxonomy

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

## Other

- **Enumeration date:** 08/23/2007
- **Last updated:** 04/02/2015