Provider Demographics
NPI:1710347604
Name:ZENITH PHYSICAL THERAPY
Entity Type:Organization
Organization Name:ZENITH PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BOJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JUROSEVIC
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:801-386-6722
Mailing Address - Street 1:7940 SOUTH 1300 EAST
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84094
Mailing Address - Country:US
Mailing Address - Phone:801-386-6722
Mailing Address - Fax:
Practice Address - Street 1:7940 SOUTH 1300 EAST
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84094
Practice Address - Country:US
Practice Address - Phone:801-386-6722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-04
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7987494-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty