Organization
CANYON RIM PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN SHUPE P.T. OCS (OWNER/ PHYSICAL THERAPIST)
(801) 486-7542
Entity
Organization
Contact information
Practice address
2295 FOOTHILL DR, SALT LAKE CITY, UT 84109-4000
(801) 486-7542
Mailing address
2295 FOOTHILL DR, SALT LAKE CITY, UT 84109-4000
(801) 486-7542
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
19921748
UT
Other
Enumeration date
08/30/2006
Last updated
03/27/2013
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