Healthcare Provider Details

I. General information

NPI: 1558511451
Provider Name (Legal Business Name): FIT QUEST THERAPY & REHABILITATION CLINIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2008
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 N 300 W STE 103
KAYSVILLE UT
84037-1815
US

IV. Provider business mailing address

335 N 300 W STE 103
KAYSVILLE UT
84037-1815
US

V. Phone/Fax

Practice location:
  • Phone: 801-546-6868
  • Fax:
Mailing address:
  • Phone: 801-546-6868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL C SMITH
Title or Position: OFFICER
Credential: MPT
Phone: 801-546-6868