Organization
SPINE ORTHOPEDIC & SPORTS PHYSICAL THERAPY LLC
Active
Other names
FYZICAL Spine, Orthopedic, Sports Therapy & Balance Center
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC DOUGLASS PT (CHIEF CLINICAL OFFICER)
(941) 870-4401
Entity
Organization
Contact information
Practice address
3303 N UNIVERSITY AVE, PROVO, UT 84604-4438
(801) 373-7438
(801) 373-7486
Mailing address
PO BOX 632650, CINCINNATI, OH 45263-2650
(702) 268-7213
(702) 818-5001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2006
Last updated
10/10/2025
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