Organization
PREVAIL STROKE AND NEURO REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN HERBERT KINZINGER DPT (PHYSICAL THERAPIST)
(801) 860-3237
Entity
Organization
Contact information
Practice address
1910 E 3060 S, SALT LAKE CITY, UT 84106-3932
(801) 860-3237
Mailing address
1910 E 3060 S, SALT LAKE CITY, UT 84106-3932
(801) 860-3237
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251C2600X
Cardiopulmonary Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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