Provider Demographics
NPI:1861798738
Name:DELL C. FELIX, PT & ASSOCIATES PC
Entity type:Organization
Organization Name:DELL C. FELIX, PT & ASSOCIATES PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DELL
Authorized Official - Middle Name:
Authorized Official - Last Name:FELIX
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:801-263-2063
Mailing Address - Street 1:4031 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-1442
Mailing Address - Country:US
Mailing Address - Phone:801-263-2063
Mailing Address - Fax:801-263-2062
Practice Address - Street 1:4031 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84107-1442
Practice Address - Country:US
Practice Address - Phone:801-263-2063
Practice Address - Fax:801-263-2062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-09
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT108157-2401261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy