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NPI Code Detail

MEDICARE: HALL PHYSICAL THERAPY LLC

MEDICARE: HALL PHYSICAL THERAPY LLC
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
12251X0800XOrthopedic Physical Therapist9254690-2401UT

General Provider Information

NPI Number : 1174009054
Entity Type Code : Organization
Provider Name (Legal Business Name) : HALL PHYSICAL THERAPY LLC
Provider Business Mailing Address
First Line : 349 E 900 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84111-4331
Country : US
Telephone Number : 385-429-2018
Fax Number : 801-487-2930
Provider Business Practice Location Address
First Line : 349 E 900 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84111-4331
Country : US
Telephone Number : 385-429-2018
Fax Number : 801-487-2930
Authorized Official
Title or Position : OWNER/PHYSICAL THERAPIST
Name : DR. JOSHUA LEE HALL
Credential : DPT
Telephone Number : 385-429-2018
Provider Enumeration Date : 07/13/2018
Last Update Date : 07/13/2018

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Directions to “HALL PHYSICAL THERAPY LLC ” Practice Location

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