| Organization Name: | SUMMIT SPINAL REHABILITATION AND PHYSICAL THERAPY, PC |
| NPI Number: | 1245440312 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KRIS I. DAVIS (CHIROPRACTOR, OWNER) |
| Mailing Address: | 3197 S Redwood Rd Ste 11 West Valley City |
| State: | UT US |
| Postal Code: | 841193201 |
| Phone Number: | 8019729300 |
| Fax Number: | 8019737222 |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1392960 |
| 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 |