Organization Name: | CANYON SPORTS THERAPY INC |
NPI Number: | 1083920052 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BEATRICE M MONTEYNE (CFO) |
Mailing Address: | 6069 Highland Dr Holladay |
State: | UT US |
Postal Code: | 841211375 |
Phone Number: | 8019441209 |
Fax Number: | 8012741180 |
NPI Enumeration Date: | 08/27/2010 |
NPI Last Update Date: | 09/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 121600-2401 |
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 |