Organization Name: | FIT QUEST THERAPY & REHABILITATION INC |
NPI Number: | 1902946379 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENNETH D COLLEDGE (OFFICER) |
Mailing Address: | 2120 N 400 E North Ogden |
State: | UT US |
Postal Code: | 844147238 |
Phone Number: | 8017823500 |
Fax Number: | 8017861926 |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 12/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 103041-2401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |