Provider Demographics
NPI:1851585194
Name:DYNATRONICS CORPORATION
Entity Type:Organization
Organization Name:DYNATRONICS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS DEVELOPMENT MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:RAJALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-874-6251
Mailing Address - Street 1:7030 PARK CENTRE DR
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-6618
Mailing Address - Country:US
Mailing Address - Phone:800-874-6251
Mailing Address - Fax:801-568-7711
Practice Address - Street 1:7030 PARK CENTRE DR
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84121-6618
Practice Address - Country:US
Practice Address - Phone:800-874-6251
Practice Address - Fax:801-568-7711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1334C332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies