Healthcare Provider Details

I. General information

NPI: 1780222893
Provider Name (Legal Business Name): WELL BEING PELVIC PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2019
Last Update Date: 12/19/2019
Certification Date: 12/19/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 E 5600 S STE 222
MURRAY UT
84107-8164
US

IV. Provider business mailing address

111 E 5600 S STE 222
MURRAY UT
84107-8164
US

V. Phone/Fax

Practice location:
  • Phone: 801-904-3502
  • Fax: 385-743-2131
Mailing address:
  • Phone: 801-904-3502
  • Fax: 385-743-2131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. VALERIE SCHWALBE
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: DPT
Phone: 801-904-3502