Organization
NORTHERN HOLDINGS
Active
Parent organization
NORTHERN HOLDINGS
Other names
Advantage Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHERN HOLDINGS
Authorized official
JACOB EREKSON DPT (DPT/CONSULTANT)
(801) 281-1525
Entity
Organization
Contact information
Practice address
6321 S REDWOOD RD STE 100, TAYLORSVILLE, UT 84123-6799
(801) 281-1525
Mailing address
6321 S REDWOOD RD STE 107, TAYLORSVILLE, UT 84123-6799
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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