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The Body Shop Physical Therapy And Rehab

Physical Therapist in South Jordan, UT. Organization (NPI-2).

NPI number1487842852
StatusActive
Last updated in NPPESOct 10, 2007

Details

NPI
1487842852
Entity type
Organization (NPI-2)
Legal business name
The Body Shop Physical Therapy And Rehab
Organization subpart
No
Enumeration date
Oct 10, 2007
Last updated
Oct 10, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist–UTYes

Practice location

10684 South River Parkway
South Jordan, UT 84095

Phone 801-816-0332

Mailing address

P.O. Box 270345
West Allis, WI 53227-0345

Phone 414-529-4180 · Fax 414-858-9082

Authorized official

Scott Frogley
Owner
8018160332

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