Organization
FAST TRACK PHYSICAL THERAPY AND SPORTS MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE A SHIRLEY PT, DPT, MS, ATC (PHYSICAL THERAPIST/OWNER)
(801) 649-4690
Entity
Organization
Contact information
Practice address
6717 SOUTH 900 EAST, SUITE 201, MIDVALE, UT 84047
(801) 649-4690
(801) 984-4011
Mailing address
6717 SOUTH 900 EAST, SUITE 201, MIDVALE, UT 84047
(801) 649-4690
(801) 984-4011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6006997-2401
UT
Other
Enumeration date
12/10/2008
Last updated
07/31/2009
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