Organization
CANYON RIM PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN SHUPE M.S., P.T., O.C.S. (OWNER/PHYSICAL THERAPIST)
(801) 947-8449
Entity
Organization
Contact information
Practice address
6360 S 3000 E, SUITE 125, SALT LAKE CITY, UT 84121-6923
(801) 947-8449
Mailing address
6360 S 3000 E, SUITE 125, SALT LAKE CITY, UT 84121-6923
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1449C
UT
Other
Enumeration date
08/30/2006
Last updated
03/27/2013
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