Aegis Group Practice LLC

NPI #1265317986 in Washington, Utah

Provider Information

NPI Number: 1265317986
Entity Type: Organization
Organization Name: Aegis Group Practice LLC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 11, 2025
Last Updated: Jan 7, 2026

Practice Location

Address: 1525 E OVATION PL
City: Washington
State: Utah
ZIP Code: 84780-2759
Phone: (479) 201-6091

Authorized Official

Name: TRACY MCCALL
Title: CREDENTIALING
Phone: (479) 201-6091

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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