NPI 1740843697

Axial-Im

Organisation Neuromusculoskeletal Medicine & OMM Physician Riverton, UT

Practice location

Address: 3898 W Innovation Dr STE B, Riverton, UT 84065-6038
Phone: (801) 302-0660
Fax: (801) 302-2239
Mailing address: PO Box 95411, South Jordan, UT 84095-0411

Authorised official

Name: Mollie S Wilson
Title: Authorized Official
Phone: (913) 499-9885

Registered specialties (3)

Neuromusculoskeletal Medicine & OMM Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204D00000X

Other Neuromusculoskeletal Medicine & OMM providers in Utah →

Neurology Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2251N0400X

Other Physical Therapist providers in Utah →

Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X

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Registry record

NPI: 1740843697
Entity type: Organization
NPI issued: 17 Apr 2019
Record last updated: 5 Mar 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.