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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Physical Therapy Assistant · SALT LAKE CITY, UT

Registration Details

NPI Number
1154733566
Provider Type
Individual
Gender
Male
NPI Issued
May 20, 2014 (11.950230426589 yrs)
Last Updated
May 20, 2014

Practice Information

Address
500 FOOTHILL BLVD
SALT LAKE CITY, UT, 841480001
Browse UT providers · Browse ZIP 84148
Phone
8015841224
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in SALT LAKE CITY, UT

Name Credential NPI
GAIL MARIETTA PT 1952302630
STEVEN G CRANDALL PT, DPT, OCS 1154322816
RYAN R FUHRIMAN PT, DPT, ATC 1609877372
BEVAN D BLAKE PT, DPT 1114928868
CHERYL A FARNSWORTH MPT 1720089485
BONNIE ROSS BUTLER PT,OCS,CSCS 1255332938
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.