Organization
GENERATIONAL HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL FROGLEY (REGISTERED AGENT)
(801) 726-2338
Entity
Organization
Contact information
Practice address
1264 W VILLAGE MAIN DR, STE A, WEST VALLEY CITY, UT 84119-3396
(801) 972-0393
(801) 972-5707
Mailing address
1264 W VILLAGE MAIN DR, STE A, WEST VALLEY CITY, UT 84119-3396
(801) 972-0393
(801) 972-5707
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5356508-1205
UT
208100000X
Physical Medicine & Rehabilitation Physician
6344620-1206
UT
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
01/26/2015
Last updated
02/18/2025
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