| Organization Name: | ALPINE PHYSICAL THERAPY LLC |
| NPI Number: | 1194965665 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL D ANDERSON (PHYSICAL THERAPIST/OWNER) |
| Mailing Address: | 75 W Main Street Ct Ste 100 Alpine |
| State: | UT US |
| Postal Code: | 840045602 |
| Phone Number: | 8012164299 |
| Fax Number: | 8012164298 |
| NPI Enumeration Date: | 02/24/2009 |
| NPI Last Update Date: | 04/07/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 4777580-2401 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |