Organization
POSITIONAL RELEASE THERAPY INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY EUGENE SPEICHER PHD, ATC, LAT, CSCS, (PRESIDENT)
(801) 689-2546
Entity
Organization
Contact information
Practice address
1702 E. 5600 S., OGDEN, UT 84403
(801) 689-2546
(385) 206-8657
Mailing address
1702 E. 5600 S., OGDEN, UT 84403
(801) 689-2546
(385) 206-8657
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2255A2300X
Athletic Trainer
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
08/09/2019
Last updated
01/31/2020
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