MEDICARE: COMPREHENSIVE THERAPY INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1215513197
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE THERAPY INC.

Provider Business Mailing Address
First Line	:	6311 W 4180 S
Second Line	:
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84128-6520
Country	:	US
Telephone Number	:	801-718-4950
Fax Number	:

Provider Business Practice Location Address
First Line	:	6311 W 4180 S
Second Line	:
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84128-6520
Country	:	US
Telephone Number	:	801-718-4950
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	JULIA D LIBBY
Credential	:	DPT
Telephone Number	:	801-718-4950

Provider Enumeration Date	:	03/22/2021
Last Update Date	:	06/28/2021

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