Organization
UTAH OUTPATIENT PULMONARY REHAB, LLC
Active
Other names
Jordan Valley Pulmonary Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT THOMPSON P.T. (ADMINISTRATOR)
(801) 706-2964
Entity
Organization
Contact information
Practice address
8785 S JORDAN VALLEY WAY, STE 2, WEST JORDAN, UT 84088-9772
(801) 890-7779
(801) 821-4556
Mailing address
8785 S JORDAN VALLEY WAY, SUITE 2, WEST JORDAN, UT 84088-9772
(801) 890-7779
(801) 821-4556
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
225400000X
Rehabilitation Practitioner
—
—
2278P1005X
Pulmonary Rehabilitation Certified Respiratory Therapist
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
84318600160
UT
Other
Enumeration date
10/05/2012
Last updated
04/01/2016
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