Organization
DYNAMIC PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW S NELSON PT, DPT (PHYSICAL THERAPIST)
(801) 450-1881
Entity
Organization
Contact information
Practice address
1265 E FORT UNION BLVD STE 110, COTTONWOOD HEIGHTS, UT 84047-1807
(801) 450-1881
Mailing address
1265 E FORT UNION BLVD, STE 110, COTTONWOOD HEIGHTS, UT 84047-1808
(801) 849-0198
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
9321575-0160
UT
Other
Enumeration date
04/09/2015
Last updated
07/03/2015
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