Organization
ELEVATED PERFORMANCE AND REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY EUGENE SPEICHER PHD, AT, LAT, CSCS (PRESIDENT)
(801) 689-2546
Entity
Organization
Contact information
Practice address
1710 E 5600 S, OGDEN, UT 84403
(801) 689-2546
Mailing address
1214 E 3150 N, OGDEN, UT 84414-1838
(203) 895-4160
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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