Organization
ALTA THERAPIES LC
Active
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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