Organization
THATCHER BROOK OUTPATIENT THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER SASE COTA/L (DIRECTOR OF REHABILITATION)
(801) 614-5700
Entity
Organization
Contact information
Practice address
1795 CHELEMES WAY, CLEARFIELD, UT 84015-6298
(801) 614-5700
(801) 614-5750
Mailing address
1795 CHELEMES WAY, CLEARFIELD, UT 84015-6298
(801) 614-5700
(801) 614-5750
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
09/18/2023
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