NPI 1093731754

Performance Golf & Wellness Clinic

Organisation Physical Therapist Salt Lake City, UT

Practice location

Address: 1285 Gunn Ave, Salt Lake City, UT 84106-3039
Phone: (801) 746-8997
Fax: (801) 746-8996
Mailing address: PO Box 307, Bountiful, UT 84011-0307

Authorised official

Name: Henry White
Title: Owner
Phone: (801) 746-8997

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 325159-2401 (UT)

Other Physical Therapist providers in Utah →

Registry record

NPI: 1093731754
Entity type: Organization
NPI issued: 14 Jul 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.