AXIAL-IM
Organization (NPI-2)
Active
Neuromusculoskeletal Medicine & OMM
Provider Information
- NPI Number
1740843697- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3898 W INNOVATION DR STE B, RIVERTON, UT, 840656038
- Phone
- (801) 302-0660
- Fax
- (801) 302-2239
Specialties & Taxonomies
Neuromusculoskeletal Medicine & OMM
Primary
Physical Therapist, Neurology
Nurse Practitioner, Family