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Organization
GENESIS PHYSICAL THERAPY LLC
Active
Organization
GENESIS PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE HANSEN (OWNER)
(801) 499-9831
Entity
Organization
Contact information
Practice address
5500 S REDWOOD RD # 206, TAYLORSVILLE, UT 84123-5375
(801) 499-9831
Mailing address
5500 S REDWOOD RD # 206, TAYLORSVILLE, UT 84123-5375
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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