| Organization Name: | TEAMWORKS THERAPY LLC |
| NPI Number: | 1023155322 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEFFANIE HANSEN (BILLING MANAGER) |
| Mailing Address: | 642 N 1000 W Ste 107 Logan |
| State: | UT US |
| Postal Code: | 843213140 |
| Phone Number: | 4357531556 |
| Fax Number: | 8664203724 |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 07/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 275801-2401 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |