University of Utah Rehabilitation and Wellness Program

NPI #1538267232 in Slc, Utah

Provider Information

NPI Number: 1538267232
Entity Type: Organization
Organization Name: University of Utah Rehabilitation and Wellness Program
Primary Specialty: Physical Therapist
Enumeration Date: Sep 20, 2006
Last Updated: Sep 7, 2011

Practice Location

Address: 520 WAKARA WAY
City: Slc
State: Utah
ZIP Code: 84108-1213
Phone: (801) 585-2119

Authorized Official

Name: DR. CHARLES GRAYBILL, PT
Title: DEPT CHAIR
Phone: (801) 587-6470

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist - Geriatrics — Geriatrics	2251G0304X
Physical Therapist - Hand — Hand	2251H1200X
Physical Therapist - Sports — Sports	2251S0007X
Physical Therapist	225100000X	Primary

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