| Organization Name: | WIESE BODY TUNE PHYSICAL THERAPY, P.C. |
| NPI Number: | 1952522419 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KORRYN WIESE (CEO) |
| Mailing Address: | 5856 Harrison Blvd Suite A South Ogden |
| State: | UT US |
| Postal Code: | 844034397 |
| Phone Number: | 8014756415 |
| Fax Number: | 8014756417 |
| NPI Enumeration Date: | 05/01/2007 |
| NPI Last Update Date: | 08/20/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1179052401 |
| 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 |