Organization
SPORTSMED PHYSICAL THERAPY OF BOUNTIFUL A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT A HAWKES MSPT (OWNER)
(801) 295-8999
Entity
Organization
Contact information
Practice address
1551 RENAISSANCE TWN DR, STE 420, BOUNTIFUL, UT 84010
(801) 295-8999
(801) 292-4168
Mailing address
1551 RENAISSANCE TWN DR, STE 420, BOUNTIFUL, UT 84010-7667
(801) 295-8999
(801) 292-4168
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
UT
Other
Enumeration date
12/05/2007
Last updated
05/18/2018
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