Organization
ELEVATION PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB D EREKSON DPT (PT DIRECTOR/OWNER)
(385) 405-2712
Entity
Organization
Contact information
Practice address
985 W RIVERDALE RD STE 2, RIVERDALE, UT 84405-5601
(385) 405-2712
(888) 595-6786
Mailing address
985 W RIVERDALE RD STE 2, RIVERDALE, UT 84405-5601
(385) 405-2712
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
7376354-2401
UT
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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