Road Back LLC
NPI #1598339905 in Bountiful, Utah
Provider Information
- NPI Number
- 1598339905
- Entity Type
- Organization
- Organization Name
- Road Back LLC
- Primary Specialty
- Physical Medicine & Rehabilitation - Sports Medicine
- Enumeration Date
- May 19, 2021
- Last Updated
- Oct 14, 2021
Practice Location
Authorized Official
- Name
- DR. DEREK GARN RODEBACK, DO
- Title
- SOLE MBR
- Phone
- (435) 414-9858
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation - Sports Medicine — Sports Medicine |
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