Provider Demographics
NPI:1417148347
Name:WESTERN REHABILITATION HEALTH NETWORK, LC
Entity Type:Organization
Organization Name:WESTERN REHABILITATION HEALTH NETWORK, LC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:WOODS
Authorized Official - Last Name:KUHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-942-2729
Mailing Address - Street 1:PO BOX 711397
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84171-1397
Mailing Address - Country:US
Mailing Address - Phone:801-942-2729
Mailing Address - Fax:801-908-7488
Practice Address - Street 1:1952 E FORT UNION BLVD
Practice Address - Street 2:
Practice Address - City:COTTONWOOD HEIGHTS
Practice Address - State:UT
Practice Address - Zip Code:84121-6877
Practice Address - Country:US
Practice Address - Phone:801-942-2729
Practice Address - Fax:801-908-7488
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOUNTAIN LAND REHABILITATION, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-08-06
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty