Provider Demographics
NPI:1942531637
Name:ONE TO ONE PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:ONE TO ONE PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:L
Authorized Official - Last Name:TRUJILLO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:801-561-4121
Mailing Address - Street 1:8899 S 700 E
Mailing Address - Street 2:SUITE 130
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-1810
Mailing Address - Country:US
Mailing Address - Phone:801-561-4121
Mailing Address - Fax:801-561-1540
Practice Address - Street 1:8899 S 700 E
Practice Address - Street 2:SUITE 130
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-1810
Practice Address - Country:US
Practice Address - Phone:801-561-4121
Practice Address - Fax:801-561-1540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-20
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT346507-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty