MEDICARE: CANCER REHABILITATION CENTERS

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
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1508128604
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CANCER REHABILITATION CENTERS

Provider Business Mailing Address
First Line	:	7390 S CREEK RD STE 104
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84093-6121
Country	:	US
Telephone Number	:	801-456-9898
Fax Number	:	801-456-9899

Provider Business Practice Location Address
First Line	:	7390 S CREEK RD STE 104
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84093-6121
Country	:	US
Telephone Number	:	801-456-9898
Fax Number	:	801-456-9899

Authorized Official
Title or Position	:	OWNER
Name	:	CATHERINE ANN STANDIFORD
Credential	:
Telephone Number	:	801-456-9898

Provider Enumeration Date	:	06/13/2012
Last Update Date	:	10/10/2023

Similar Medicare Providers

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