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

DR. MIRJAM RAVNENG, DPT

Active

Physical Medicine & Rehabilitation · SALT LAKE CITY, UT

Registration Details

NPI Number
1407401425
Provider Type
Individual
Gender
Female
NPI Issued
Aug 6, 2019 (6.7497096214411 yrs)
Last Updated
Aug 6, 2019
License
11027277-2401 (UT)

Practice Information

Address
575 E 4500 S
SALT LAKE CITY, UT, 841072973
Browse UT providers · Browse ZIP 84107
Phone
8012663939
Primary Specialty
Physical Medicine & Rehabilitation
208100000X

Other Physical Medicine & Rehabilitation Providers in SALT LAKE CITY, UT

Name Credential NPI
DR. JOEL T DALL MD 1992707657
DR. BRUCE Y NEWTON MD 1679565170
DR. JEFFREY G RANDLE MD 1063404424
TERRY SAWCHUK M.D. 1164481008
DR. TIMOTHY S GRANGE MD 1932169430
JERRY G HONG PT 1255397287
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.