| Organization Name: | QUANTUM INJURY AND PAIN CLINIC LLC |
| NPI Number: | 1962529008 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHERIN MINER (MEDICAL MASSAGE THERAPIST) |
| Mailing Address: | 870 E 9400 S Suite 100 Sandy |
| State: | UT US |
| Postal Code: | 840943666 |
| Phone Number: | 8015539966 |
| Fax Number: | 8015539949 |
| NPI Enumeration Date: | 03/23/2007 |
| NPI Last Update Date: | 04/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225700000X |
| License Number: | 213662-4701 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Massage Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |