Organization
PERFORMANCE WEST PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BUSBY (OFFICE MANAGER)
(801) 295-3553
Entity
Organization
Contact information
Practice address
1551 RENAISSANCE TOWNE DR, STE 350, BOUNTIFUL, UT 84010-7667
(801) 295-3553
(801) 295-3599
Mailing address
1551 RENAISSANCE TOWNE DR, STE 350, BOUNTIFUL, UT 84010-7667
(801) 295-3553
(801) 295-3599
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
200631198
UT
Other
Enumeration date
12/12/2006
Last updated
11/16/2012
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