Organization
MCKELL THERAPY GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN S MCKELL M.S., P.T. (PRESIDENT)
(801) 224-2177
Entity
Organization
Contact information
Practice address
504 E 770 N, OREM, UT 84097-4101
(801) 224-2177
(801) 224-2195
Mailing address
504 E 770 N, OREM, UT 84097-4101
(801) 224-2177
(801) 224-2195
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3133172401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
518084116022
—
UT
Enumeration date
06/12/2006
Last updated
10/07/2010
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