Organization
BALANCED BODY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALLEN B LOVELL PT (PRESIDENT)
(801) 293-8888
Entity
Organization
Contact information
Practice address
4465 S 900 E, SUITE 250, SALT LAKE CITY, UT 84124-2456
(801) 293-8888
(801) 293-8890
Mailing address
PO BOX 307, BOUNTIFUL, UT 84011-0307
(801) 294-6907
(801) 294-6917
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1187252401
UT
Other
Enumeration date
08/11/2008
Last updated
02/18/2014
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