NPI 1902423049 · live from the CMS NPI Registry
Back At Work Of Utah LLC
Physical Therapist in Clearfield, UT. National Provider Identifier 1902423049, active.
NPI record
| NPI | 1902423049 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 772 E 700 S Ste 3, Clearfield, UT 84015 |
| Practice phone | 801-217-3755 |
| Mailing address | 1200 Corporate Dr Ste 400, Birmingham, AL 35242 |
| Enumerated | July 5, 2020 |
| Last updated | October 22, 2020 |
| Authorized official | Thomas Bryan Barganier, Cfo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist | 225X00000X | — |
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.