Organization
THERAPY WEST LLC
Active
Other names
Therapy West PC
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY R LISZKA (CRO)
(503) 583-5447
Entity
Organization
Contact information
Practice address
13 EAST CENTER, GUNNISON, UT 84634-0396
(435) 528-7575
(435) 528-7000
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171-1185
(801) 942-3311
(801) 942-5955
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
UT
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
05/22/2006
Last updated
08/14/2025
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