Intermountain Healthcare
Organization Active NPI Physical Therapy Clinic/Center · Riverton, UT
NPI 1114378288 · NPPES record last updated Jun 29, 2016
Key facts
- NPI
- 1114378288
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- 9811303-8016 (UT)
- Legal business name
- INTERMOUNTAIN HEALTHCARE
- Practice address
- 3741 W 12600 S
Riverton, UT 84065-7215 - Phone
- (801) 285-3400
- NPI assigned
- Jun 29, 2016
- Organization subpart
- No
Authorized official
- Name
- Pam Dibblee, DPT
- Title
- DPT, Clinic Manager
- Phone
- (801) 285-3400
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Bradley S Thompson DO
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 9811303-8016 | UT | Yes |
Addresses
Primary practice location
3741 W 12600 S
Riverton, UT 84065-7215
Mailing address
3741 W 12600 S
Riverton, UT 84065-7215
Phone (801) 285-3400
Other providers in Riverton, UT
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- Ihc Health Services, Inc.
- Kensey Ihrig
- Ingrown Toenails Only
- Integraone LLC
- Nicole Iovino
- Carrie Seiter Jackson
- Chrystal Bennett Jackson
- April Jean Jacob
- Darren C Jacobsen
All providers in Riverton, UT · Physical Therapy Clinic/Center in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.