Provider Demographics
NPI:1508281254
Name:MOUNTAIN VIEW PHYSICAL THERAPY AND REHABILITATION, PLLC
Entity Type:Organization
Organization Name:MOUNTAIN VIEW PHYSICAL THERAPY AND REHABILITATION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:RACHAEL
Authorized Official - Last Name:NIELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-996-3626
Mailing Address - Street 1:6770 SOUTH 900 EAST
Mailing Address - Street 2:SUITE # 100
Mailing Address - City:MIDVALE
Mailing Address - State:UT
Mailing Address - Zip Code:84047-1761
Mailing Address - Country:US
Mailing Address - Phone:801-996-3626
Mailing Address - Fax:801-523-8242
Practice Address - Street 1:6770 SOUTH 900 EAST
Practice Address - Street 2:SUITE # 100
Practice Address - City:MIDVALE
Practice Address - State:UT
Practice Address - Zip Code:84047-1761
Practice Address - Country:US
Practice Address - Phone:801-996-3626
Practice Address - Fax:801-523-8242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-04
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy