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General NPI Number Information
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NPI Number | 1073316709
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Entity Type | Organization
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Legal Business Name | CORE THERAPY PARTNERS LLC
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 11631 S 700 E
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City | DRAPER
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State | UT
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Zip | 84020-8288
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Country | US
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Telephone | 801-712-8907
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Fax |
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Provider Business Mailing Address
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Address Line | 2825 E COTTONWOOD PKWY STE 500
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City | SALT LAKE CITY
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State | UT
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Zip | 84121-7060
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | BRIAN RAMOS
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Credential |
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Telephone | 801-712-8907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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