Provider Demographics
NPI:1326515115
Name:EMPOWER UTAH PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:EMPOWER UTAH PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DALIN
Authorized Official - Middle Name:GIL
Authorized Official - Last Name:HANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:385-985-7499
Mailing Address - Street 1:771 E 1300 N
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:UT
Mailing Address - Zip Code:84062-1996
Mailing Address - Country:US
Mailing Address - Phone:385-985-7499
Mailing Address - Fax:385-225-9304
Practice Address - Street 1:305 S 850 E UNIT 101B
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043
Practice Address - Country:US
Practice Address - Phone:385-985-7499
Practice Address - Fax:385-225-9304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-30
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy