Fast Track Physical Therapy and Sports Medicine, Pllc

NPI #1124263728 in Midvale, Utah

Provider Information

NPI Number: 1124263728
Entity Type: Organization
Organization Name: Fast Track Physical Therapy and Sports Medicine, Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Dec 10, 2008
Last Updated: Jul 31, 2009

Practice Location

Address: 6717 SOUTH 900 EAST
Address 2: SUITE 201
City: Midvale
State: Utah
ZIP Code: 84047
Phone: (801) 649-4690

Authorized Official

Name: DR. GEORGE A SHIRLEY, PT, DPT, MS, ATC
Title: PHYSICAL THERAPIST/OWNER
Phone: (801) 649-4690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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