Provider Demographics
NPI:1225415086
Name:ALIGN THERAPY LLC
Entity Type:Organization
Organization Name:ALIGN THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:DARRELL
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:801-980-0860
Mailing Address - Street 1:PO BOX 362
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-0362
Mailing Address - Country:US
Mailing Address - Phone:801-980-0860
Mailing Address - Fax:801-980-0862
Practice Address - Street 1:230 N 1200 E
Practice Address - Street 2:SUITE 103
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-5865
Practice Address - Country:US
Practice Address - Phone:801-980-0860
Practice Address - Fax:801-980-0862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-30
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6630361-2401225100000X
261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty