Organization
LIVEWELL PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET MYSHRALL P.T. (OWNER)
(435) 901-3579
Entity
Organization
Contact information
Practice address
5976 FAIRVIEW DR, PARK CITY, UT 84098-6160
(435) 901-3579
(435) 608-6566
Mailing address
5976 FAIRVIEW DR, PARK CITY, UT 84098-6160
(435) 901-3579
(435) 658-9934
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
290437-2401
UT
Other
Enumeration date
04/03/2009
Last updated
05/11/2018
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