# PHYSICAL THERAPY AND SPORTS

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

## Provider details

- **NPI number:** 1831450113
- **Authorized official:** AMY C DELAP PT,DPT (DIRECTOR OF PHYSICAL THERAPY)
- **Authorized official phone:** (801) 869-1973

## Contact information

- **Practice address:** 6360 S 3000 E, SUITE 210, SALT LAKE CITY, UT 84121-6923
- **Practice address phone:** (801) 869-1975
- **Practice address fax:** (801) 869-1973
- **Mailing address:** 6360 S 3000 E, SUITE 210, SALT LAKE CITY, UT 84121-6923
- **Mailing address phone:** (801) 869-1975
- **Mailing address fax:** (801) 869-1973

## Taxonomy

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

## Other

- **Enumeration date:** 06/04/2012
- **Last updated:** 08/12/2015