Whalio Doctors

NPI 1609751791

Primal Mountain Medical

Organisation Physical Medicine & Rehabilitation Physician Lehi, UT

Practice location

Address
3098 Exec Pkwy STE 100, Lehi, UT 84048-5650
Phone
(435) 938-8657

Authorised official

Name
Jacob Egbert
Title
Owner
Phone
(435) 938-8657

Registered specialties

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X

Registry record

NPI
1609751791
Entity type
Organization
NPI issued
7 Aug 2025
Record last updated
7 Aug 2025

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.