Provider Demographics
NPI:1932330933
Name:BEIGHTOL, AIMEE CATHERINE (DPT)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:CATHERINE
Last Name:BEIGHTOL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 W PARRISH LN
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84014-1821
Mailing Address - Country:US
Mailing Address - Phone:801-298-7330
Mailing Address - Fax:801-295-5434
Practice Address - Street 1:174 W PARRISH LN
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:UT
Practice Address - Zip Code:84014-1821
Practice Address - Country:US
Practice Address - Phone:801-298-7330
Practice Address - Fax:801-295-5434
Is Sole Proprietor?:No
Enumeration Date:2009-08-07
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5901158-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist