Organization
FIXIT PHYSIO - PHYSICAL THERAPY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARTER BLACKHAM DPT (OWNER/OPERATOR)
(435) 669-9191
Entity
Organization
Contact information
Practice address
13218 S WEATHERFORD LN, HERRIMAN, UT 84096-5001
(435) 669-9191
Mailing address
13218 S WEATHERFORD LN, HERRIMAN, UT 84096-5001
(435) 669-9191
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
01/05/2024
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