Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MONT DIDERICKSEN, PT
ActiveMONT DIDERICKSEN, PT is a Physical Therapy Assistant healthcare provider located in SMITHFIELD, Utah. NPI 1063963825 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SMITHFIELD, UT
Registration Details
- NPI Number
- 1063963825
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2016 (9.6506859137091 yrs)
- Last Updated
- Oct 17, 2016
Practice Information
- Address
-
551 S 455 ESMITHFIELD, UT, 843351355Browse UT providers · Browse ZIP 84335
- Phone
- 4357574847
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SMITHFIELD, UT
| Name | Credential | NPI |
|---|---|---|
| JOHN BERRYHILL | RPT | 1396741989 |
| SUZANNE THORSON | PT | 1194901900 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.