Organization
LIFE ELEVATED PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI THOMPSON PT, DPT, NCS (PHYSICAL THERAPIST)
(435) 230-1062
Entity
Organization
Contact information
Practice address
750 W 1075 S STE E, BRIGHAM CITY, UT 84302-3264
(435) 230-1062
Mailing address
970 W 520 N, TREMONTON, UT 84337-2414
(435) 230-1062
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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