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NPI Code Detail

MEDICARE: DIRECT THERAPY SERVICES INC.

MEDICARE: DIRECT THERAPY SERVICES INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility3382574201UT

General Provider Information

NPI Number : 1144405036
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIRECT THERAPY SERVICES INC.
Provider Business Mailing Address
First Line : 1115 LARKSPUR DR
Second Line :
City : SANDY
State : UT
Zip : 84094-4749
Country : US
Telephone Number : 801-759-1825
Fax Number : 801-943-3591
Provider Business Practice Location Address
First Line : 835 E VINE ST
Second Line :
City : MURRAY
State : UT
Zip : 84107-6515
Country : US
Telephone Number : 801-743-1272
Fax Number :
Authorized Official
Title or Position : OWNER
Name : AARN DAG ROTHEY
Credential : OTR/L
Telephone Number : 801-759-1825
Provider Enumeration Date : 01/09/2008
Last Update Date : 01/09/2008

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Directions to “DIRECT THERAPY SERVICES INC. ” Practice Location

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