| Organization Name: | LIFE REHABILITATION, LC |
| NPI Number: | 1023481991 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBYN ANN SMITH (OWNER, MANAGING PARTNER) |
| Mailing Address: | 8134 S Summit Valley Dr West Jordan |
| State: | UT US |
| Postal Code: | 840885930 |
| Phone Number: | 8019931110 |
| Fax Number: | |
| NPI Enumeration Date: | 11/02/2015 |
| NPI Last Update Date: | 11/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0401X |
| License Number: | 83587964202 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Taxonomy Definition: | |