Healthcare Provider Details

I. General information

NPI: 1508281254
Provider Name (Legal Business Name): MOUNTAIN VIEW PHYSICAL THERAPY AND REHABILITATION, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2014
Last Update Date: 01/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6770 SOUTH 900 EAST SUITE # 100
MIDVALE UT
84047-1761
US

IV. Provider business mailing address

6770 SOUTH 900 EAST SUITE # 100
MIDVALE UT
84047-1761
US

V. Phone/Fax

Practice location:
  • Phone: 801-996-3626
  • Fax: 801-523-8242
Mailing address:
  • Phone: 801-996-3626
  • Fax: 801-523-8242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: REBECCA RACHAEL NIELSON
Title or Position: OFFICE MANAGER
Credential:
Phone: 801-996-3626