Organization
PROFESSIONAL THERAPY AND REHABILITATION LLC
Active
Other names
Peak Physical Therapy and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD H BUDGE P.T. (OWNER/PHYSICAL THERAPIST)
(801) 798-1626
Entity
Organization
Contact information
Practice address
77 S 400 W, SPANISH FORK, UT 84660-2053
(801) 798-1626
(801) 798-1236
Mailing address
77 S 400 W, SPANISH FORK, UT 84660-2053
(801) 798-1626
(801) 798-1236
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
695780
DMBA
UT
01
—
PRA03496
MOLINA HEALTHCARE
UT
01
—
QM0000076331
ALTIUS HEALTH PLANS
UT
Enumeration date
11/26/2007
Last updated
08/02/2017
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