Provider Demographics
NPI:1174009054
Name:HALL PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:HALL PHYSICAL THERAPY LLC
Other - Org Name:HALL PT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:385-429-2018
Mailing Address - Street 1:349 E 900 S
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84111-4331
Mailing Address - Country:US
Mailing Address - Phone:385-429-2018
Mailing Address - Fax:801-487-2930
Practice Address - Street 1:349 E 900 S
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84111-4331
Practice Address - Country:US
Practice Address - Phone:385-429-2018
Practice Address - Fax:801-487-2930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-13
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9254690-24012251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty