MEDICARE: DYNATRONICS CORPORATION

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	332B00000X	Durable Medical Equipment & Medical Supplies	1334C	UT

General Provider Information

NPI Number	:	1851585194
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DYNATRONICS CORPORATION

Provider Business Mailing Address
First Line	:	7030 PARK CENTRE DR
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-6618
Country	:	US
Telephone Number	:	800-874-6251
Fax Number	:	801-568-7711

Provider Business Practice Location Address
First Line	:	7030 PARK CENTRE DR
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-6618
Country	:	US
Telephone Number	:	800-874-6251
Fax Number	:	801-568-7711

Authorized Official
Title or Position	:	BUSINESS DEVELOPMENT MANAGER
Name	:	MR. PETER JOHN RAJALA
Credential	:
Telephone Number	:	800-874-6251

Provider Enumeration Date	:	08/29/2007
Last Update Date	:	08/29/2007

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Directions to “DYNATRONICS CORPORATION ” Practice Location

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