# INTEGRATED THERAPY PRACTICE, INC.

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

## Provider details

- **NPI number:** 1962688838
- **Authorized official:** CHRISTINE CAROLYN POWELL M.ED.,P.T. (OWNER)
- **Authorized official phone:** (435) 755-3113

## Contact information

- **Practice address:** 189 N 200 E, LOGAN, UT 84321-4605
- **Practice address phone:** (435) 755-3113
- **Practice address fax:** (435) 755-3123
- **Mailing address:** PO BOX 411, LOGAN, UT 84323-0411
- **Mailing address phone:** (435) 755-3113
- **Mailing address fax:** (435) 755-3123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 120344-2401 | UT | Yes |

## Other

- **Enumeration date:** 01/10/2008
- **Last updated:** 01/10/2008