OrganizationActive
Integrated Neurorehab
NPI 1346896842 · Rehabilitation Clinic/Center · Provo, UT
Provider details
- NPI number
- 1346896842
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Devery Larsen, Ceo(801) 636-8106
Specialties & taxonomies
Ambulatory Health Care Facilities
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Practice location
1644 N Geneva Rd
Provo, UT 84601-1288
Phone: (801) 636-8106
Approximate (ZIP-level) locationGet directions
Mailing address
1644 N Geneva Rd
Provo, UT 84601-1288
Registry dates
- Enumerated
- 2019-08-12
- Last updated
- 2019-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.