Organization Name: | THE ATHLETE WITHIN |
NPI Number: | 1003186669 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KARIE GIBBONS (OWNER/MEDICAL DIRECTOR) |
Mailing Address: | 989 E 900 S Slc |
State: | UT US |
Postal Code: | 841051473 |
Phone Number: | 8015123647 |
Fax Number: | 4353364463 |
NPI Enumeration Date: | 01/12/2012 |
NPI Last Update Date: | 01/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 7014647-2401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |