Provider Demographics
NPI:1629200654
Name:DOWNTOWN PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:DOWNTOWN PHYSICAL THERAPY PLLC
Other - Org Name:ASK A PHYSICAL THERAPIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:801-979-9794
Mailing Address - Street 1:10 W BROADWAY
Mailing Address - Street 2:STE. 630
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84101-2002
Mailing Address - Country:US
Mailing Address - Phone:801-979-9794
Mailing Address - Fax:
Practice Address - Street 1:10 W BROADWAY
Practice Address - Street 2:STE. 630
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84101-2002
Practice Address - Country:US
Practice Address - Phone:801-979-9794
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-08
Last Update Date:2009-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT378045-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty