Provider Demographics
NPI:1437319498
Name:BERKELEY ENTERPRISES
Entity Type:Organization
Organization Name:BERKELEY ENTERPRISES
Other - Org Name:VIP THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFFREY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MATHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:801-281-2556
Mailing Address - Street 1:670 E 3900 S
Mailing Address - Street 2:SUITE 206
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-1973
Mailing Address - Country:US
Mailing Address - Phone:801-281-2556
Mailing Address - Fax:801-269-0858
Practice Address - Street 1:670 E 3900 S
Practice Address - Street 2:SUITE 206
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-1973
Practice Address - Country:US
Practice Address - Phone:801-281-2556
Practice Address - Fax:801-269-0858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty