| Organization Name: | KFDD PHYSICAL THERAPY & SPORTS MEDICINE CLINIC |
| NPI Number: | 1013028505 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRIS HOLMGREN DAHLBERG (CORPORATION PRESIDENT, BUSINESS OWN) |
| Mailing Address: | 2261 Kiesel Ave. Suite #320 Ogden |
| State: | UT US |
| Postal Code: | 844011969 |
| Phone Number: | 8016218835 |
| Fax Number: | 8015285357 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 04/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 114380-2401 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |