Root And Restore Therapy | Millcreek, UT • PECOS Search

Root And Restore Therapy

Clinic/Center

Ambulatory Health Care Facilities

4444 S 700 E Ste 102, Millcreek, UT 84107-3075

(801) 449-0699 (801) 809-2099

PECOS Enrollment

Based on the most recent information from CMS, provider Root And Restore Therapy does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1770053068
Provider Type
Organization
Full Name
Root And Restore Therapy

Subpart
No
Enumeration Date
11/29/2018
Last Updated
11/29/2018

Contact Information

Practice Location

4444 S 700 E Ste 102, Millcreek, UT 84107-3075

Unlisted Fax

Mailing Location

3969 S Olympic Way, Salt Lake City, UT 84124-2127

Unlisted Fax

Authorized Official

Monson, Bonnijane (Owner)

Provider Taxonomies

Code	Description	License
Code 261QP2000X Primary	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer