Organization
CANYON SPORTS THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRICE M MONTEYNE (CFO)
(801) 243-0014
Entity
Organization
Contact information
Practice address
6069 HIGHLAND DR, HOLLADAY, UT 84121-1375
(801) 944-1209
(801) 274-1180
Mailing address
PO BOX 71403, SALT LAKE CITY, UT 84171-0403
(801) 944-1209
(801) 274-1180
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
121600-2401
UT
Other
Enumeration date
08/27/2010
Last updated
09/09/2015
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