Organization
ELEVATE THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALLORY JO LUKE CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(435) 671-6728
Entity
Organization
Contact information
Practice address
975 N VALLEY HILLS BLVD, HEBER CITY, UT 84032-1101
(435) 671-6728
Mailing address
975 N VALLEY HILLS BLVD, HEBER CITY, UT 84032-1101
(435) 671-6728
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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