Organization
ALTA SPORTS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN W FEIG RPT (PRESIDENT)
(801) 944-1219
Entity
Organization
Contact information
Practice address
GOLDMINER'S DAUGHTER LODGE, SUITE 1, ALTA, UT 84092-8072
(801) 944-1209
Mailing address
PO BOX 71403, SALT LAKE CITY, UT 84171-0403
(801) 944-1209
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
121600-2401
UT
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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