Genesis Physical Therapy LLC

NPI #1770168767 in Taylorsville, Utah

Provider Information

NPI Number: 1770168767
Entity Type: Organization
Organization Name: Genesis Physical Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Mar 11, 2021
Last Updated: Mar 11, 2021

Practice Location

Address: 5500 S REDWOOD RD # 206
City: Taylorsville
State: Utah
ZIP Code: 84123-5375
Phone: (801) 499-9831

Authorized Official

Name: WAYNE HANSEN
Title: OWNER
Phone: (801) 499-9831

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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