Healthcare Provider Details

I. General information

NPI: 1124782297
Provider Name (Legal Business Name): CARRIER THERAPY SOLUTIONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2021
Last Update Date: 10/26/2021
Certification Date: 12/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3350 S 2940 E UNIT 9083
SALT LAKE CITY UT
84109-7003
US

IV. Provider business mailing address

3350 S 2940 E UNIT 9083
SALT LAKE CITY UT
84109-7003
US

V. Phone/Fax

Practice location:
  • Phone: 385-743-8584
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JUSTIN CARRIER
Title or Position: OWNER
Credential: PT, DPT
Phone: 801-380-4602