Organization
BASICS SPORTS MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE PYLE PT (OFFICER)
(801) 626-8933
Entity
Organization
Contact information
Practice address
2801 UNIVERSITY CIR, OGDEN, UT 84408-2801
(801) 626-8933
Mailing address
PO BOX 150227, OGDEN, UT 84415-0227
(801) 626-8933
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4553567-2401
UT
Other
Enumeration date
01/02/2008
Last updated
02/28/2008
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