Wasatch Physical Therapy & Sports Medicine At Park City
LBN: Wasatch Physical Therapy & Sports Medicine At Park City
Wasatch Physical Therapy & Sports Medicine At Park City is an health care organization with primary practice located at 597 Parkway Dr Suite C, Park City UT 84098-5731. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Wasatch Physical Therapy & Sports Medicine At Park City can be contacted via phone (435) 649-7335, or through Ivie, Dan S via phone (435) 649-7335.
Contact Information
Primary practice address
597 Parkway Dr Suite C
Park City UT 84098-5731
Phone: (435) 649-7335
Fax: (435) 649-7568
Website:
Authorized official contact:
Name: Ivie, Dan S Master of Physical Therapy (MPT)
Phone: (435) 649-7335
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1730194507 |
|---|---|
| LBN Legal business name | Wasatch Physical Therapy & Sports Medicine At Park City |
| DBA Doing business as | |
| Authorized official | Ivie, Dan S Master of Physical Therapy (MPT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | May 17th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730194507 | NPPES |
| Utah | Other | 000057095 | MEDICARE PTAN |
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