NPI 1386374189 · live from the CMS NPI Registry
Bear River Healthcare LLC
Physical Therapist in Logan, UT. National Provider Identifier 1386374189, active.
NPI record
| NPI | 1386374189 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 1153 N Main St Ste B100, Logan, UT 84341 |
| Practice phone | 435-752-2291 |
| Enumerated | June 14, 2022 |
| Last updated | June 14, 2022 |
| Authorized official | Lee Johnson, Treasurer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist | 225X00000X | — |
| Speech-Language Pathologist, | 235Z00000X | — |
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.