Organization
IN MOTION PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE R BLAKE (ADMINISTRATOR)
(801) 755-9186
Entity
Organization
Contact information
Practice address
669 WYNGATE POINTE LN, DRAPER, UT 84020-9695
(801) 755-9186
Mailing address
370 E SOUTH TEMPLE, 250, SLC, UT 84111-1324
(801) 755-9186
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
7272273-0160
UT
Other
Enumeration date
06/18/2012
Last updated
08/06/2012
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