OrganizationActive
Injury Clinic, LLC
NPI 1326535915 · Physical Medicine & Rehabilitation Physician · South Jordan, UT
Provider details
- NPI number
- 1326535915
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- R Shetlin, Clinic Director(801) 446-5100
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
10456 S Redwood Rd
South Jordan, UT 84095-8501
Phone: (804) 446-5100
Approximate (ZIP-level) locationGet directions
Mailing address
10456 S Redwood Rd
South Jordan, UT 84095-8501
Registry dates
- Enumerated
- 2018-04-18
- Last updated
- 2018-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.