Advanced Physical Therapy and Sports Medicine

NPI #1225351570 in Holladay, Utah

Provider Information

NPI Number: 1225351570
Entity Type: Organization
Organization Name: Advanced Physical Therapy and Sports Medicine
Primary Specialty: Specialist
Enumeration Date: Mar 1, 2010
Last Updated: Aug 30, 2016

Practice Location

Address: 999 MURRAY HOLLADAY ROAD
Address 2: #102
City: Holladay
State: Utah
ZIP Code: 84117
Phone: (385) 388-4994

Authorized Official

Name: WILLIS CLYDE, PT
Title: OWNER/PT
Phone: (435) 654-0410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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