# BASICS SPORTS MEDICINE, INC

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

## Provider details

- **NPI number:** 1972788578
- **Authorized official:** MELANIE PYLE PT (OFFICER)
- **Authorized official phone:** (801) 626-8933

## Contact information

- **Practice address:** 2801 UNIVERSITY CIR, OGDEN, UT 84408-2801
- **Practice address phone:** (801) 626-8933
- **Mailing address:** PO BOX 150227, OGDEN, UT 84415-0227
- **Mailing address phone:** (801) 626-8933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 4553567-2401 | UT | Yes |

## Other

- **Enumeration date:** 01/02/2008
- **Last updated:** 02/28/2008