Wellspring Physical Therapy, LLC

NPI #1265513774 in Midway, Utah

Provider Information

NPI Number: 1265513774
Entity Type: Organization
Organization Name: Wellspring Physical Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Oct 18, 2006
Last Updated: Mar 17, 2018

Practice Location

Address: 210 E MAIN ST STE 111
City: Midway
State: Utah
ZIP Code: 84049-6828
Phone: (435) 657-0123

Authorized Official

Name: KRISTA J CLARK, P.T.
Title: OWNER/PHYSICAL THERAPIST
Phone: (435) 657-0123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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