Provider Demographics
NPI:1043537533
Name:PRECISION THERAPY INC.
Entity Type:Organization
Organization Name:PRECISION THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUIRRE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:801-432-2200
Mailing Address - Street 1:11760 S 700 E
Mailing Address - Street 2:SUITE 112
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-6604
Mailing Address - Country:US
Mailing Address - Phone:801-432-2200
Mailing Address - Fax:801-432-2202
Practice Address - Street 1:11760 S 700 E
Practice Address - Street 2:SUITE 112
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-6604
Practice Address - Country:US
Practice Address - Phone:801-432-2200
Practice Address - Fax:801-432-2202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-23
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT283805-2401208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT1588730220OtherTYPE 1 NPI