The Athlete Within

NPI #1003186669 in Slc, Utah

Provider Information

NPI Number: 1003186669
Entity Type: Organization
Organization Name: The Athlete Within
Primary Specialty: Physical Therapist
Enumeration Date: Jan 12, 2012
Last Updated: Jan 12, 2012

Practice Location

Address: 989 E 900 S
City: Slc
State: Utah
ZIP Code: 84105-1473
Phone: (801) 512-3647

Authorized Official

Name: KARIE GIBBONS, DPT
Title: OWNER/MEDICAL DIRECTOR
Phone: (801) 512-3647

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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