Organization
FASCIAL THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HERVEY (CEO)
(801) 452-8007
Entity
Organization
Contact information
Practice address
1401 N 1075 W STE 220, FARMINGTON, UT 84025-2745
(385) 244-8060
(385) 422-8990
Mailing address
1401 N 1075 W, STE 220, FARMINGTON, UT 84025
(801) 452-8007
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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