Organization
INTERMOUNTAIN HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALISHA LOUISE MECHAM DPT (PHYSICAL THERAPIST)
(801) 404-3402
Entity
Organization
Contact information
Practice address
527 W 400 N STE 2, OREM, UT 84057-1951
(801) 714-3505
Mailing address
527 W 400 N STE 2, OREM, UT 84057-1951
(801) 714-3505
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
9249039-2401
UT
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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