Healthcare Provider Details

I. General information

NPI: 1851725782
Provider Name (Legal Business Name): PRECISION THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2013
Last Update Date: 04/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1481 S SAGE BLOOM WAY
SARATOGA SPRINGS UT
84045-5377
US

IV. Provider business mailing address

1481 S SAGE BLOOM WAY
SARATOGA SPRINGS UT
84045-5377
US

V. Phone/Fax

Practice location:
  • Phone: 801-494-7076
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number7624779-2401
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number7712326-4201
License Number StateUT
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number7624779-2401
License Number StateUT

VIII. Authorized Official

Name: RYAN P YOUNG
Title or Position: PHYSICAL THERAPIST
Credential: DPT
Phone: 801-494-7076