Organization
ALTA THERAPIES LC
Active
Other names
Alta Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUSTIN CRAGUN (GENERAL MANAGER)
(801) 693-2301
Entity
Organization
Contact information
Practice address
1481 E 1450 S, CLEARFIELD, UT 84015-1610
(801) 693-2303
(801) 693-2391
Mailing address
598 W 900 S STE 240, WOODS CROSS, UT 84010-8195
(801) 693-2301
(801) 693-2390
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2007
Last updated
10/23/2019
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