Organization Name: | SOUTH CENTRAL THERAPIES |
NPI Number: | 1487924502 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TONY KAE TORGERSEN (PRESIDENT) |
Mailing Address: | 40 S Main St Central Valley |
State: | UT US |
Postal Code: | 847543361 |
Phone Number: | 4355292234 |
Fax Number: | 4355292236 |
NPI Enumeration Date: | 01/05/2012 |
NPI Last Update Date: | 01/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 121629-2401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |