Provider Demographics
NPI:1669204830
Name:I-FLOAT SENSATIONS OGDEN INC.
Entity type:Organization
Organization Name:I-FLOAT SENSATIONS OGDEN INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:W
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:801-643-0733
Mailing Address - Street 1:3988 W 4550 S
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:UT
Mailing Address - Zip Code:84401-8442
Mailing Address - Country:US
Mailing Address - Phone:801-643-0733
Mailing Address - Fax:
Practice Address - Street 1:1490 E 5600 S STE 2
Practice Address - Street 2:
Practice Address - City:SOUTH OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-4831
Practice Address - Country:US
Practice Address - Phone:801-888-6777
Practice Address - Fax:801-409-1310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172M00000XOther Service ProvidersMechanotherapistGroup - Single Specialty