| Organization Name: | WASATCH REHAB INC |
| NPI Number: | 1811197643 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES D JEX (OWNER/PRESIDENT) |
| Mailing Address: | 5748 Cuchara Way Herriman |
| State: | UT US |
| Postal Code: | 840967294 |
| Phone Number: | 8018157782 |
| Fax Number: | 8012546671 |
| NPI Enumeration Date: | 07/19/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |