Organization
MOBILE PHYSICAL THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON NIEL SMITH DPT (PHYSICAL THERAPIST)
(801) 310-2207
Entity
Organization
Contact information
Practice address
68 N 2830 W, PROVO, UT 84601-2135
(801) 318-5633
Mailing address
68 N 2830 W, PROVO, UT 84601-2135
(801) 310-2207
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/27/2020
Last updated
06/30/2021
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