Peak Rehabilitation And Sports Medicine in Salt Lake City - Sports
Peak Rehabilitation And Sports Medicine - NPI 1609073741
Peak Rehabilitation And Sports Medicine is a Sports in Salt Lake City, Utah. Peak Rehabilitation And Sports Medicine practices all healthcare services and medical treatments related to Sports. The NPI Number for Peak Rehabilitation And Sports Medicine is 1609073741. The last update date is 2020-08-22.
Peak Rehabilitation And Sports Medicine's current location address is 6782 S 1300 E, Salt Lake City, Utah. You can contact this provider via phone number 8015680240 and fax number 8015689336. The mailing address for Peak Rehabilitation And Sports Medicine is 6782 S 1300 E, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peak Rehabilitation And Sports Medicine |
|---|---|
| Address | 6782 S 1300 E, Salt Lake City, Utah |
| Phone Number | 8015680240 |
| Fax Number | 8015689336 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mortensen Brett Bartley |
| Credentials | MS, PT, AT |
| Telephone Number | 8015680240 |
NPI Number Detail
| NPI Number | 1609073741 |
|---|---|
| Provider Enumeration Date | 2007-07-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6782 S 1300 E |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841212719 |
| Phone Number | 8015680240 |
| Fax Number | 8015689336 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | 5132199-2401 |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 529596285001 | UT | -- | |
| 522371229001 | UT | -- |
Post Comment/ Review Below
What is the Peak Rehabilitation And Sports Medicine's unique identification number?
The Peak Rehabilitation And Sports Medicine has been assigned the NPI (National Provider Identifier) Number 1609073741 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Peak Rehabilitation And Sports Medicine is geographically located?
The Peak Rehabilitation And Sports Medicine is physically situated at the following location: 6782 S 1300 E, Salt Lake City, UT, 841212719.
What is the area of specialization for Peak Rehabilitation And Sports Medicine, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Peak Rehabilitation And Sports Medicine is Sports, and the corresponding taxonomy code that categorizes this area of expertise is 2251S0007X.
When was the Peak Rehabilitation And Sports Medicine's 1609073741 issued?
The Peak Rehabilitation And Sports Medicine's 1609073741 was issued on 2007-07-02.
As of what date were the Peak Rehabilitation And Sports Medicine's details last updated?
The information pertaining to the Peak Rehabilitation And Sports Medicine, including its address, specialty, and other details, was most recently updated on 2020-08-22.