Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN SAM, DPT
ActivePhysical Therapy Assistant · SANDY, UT
Registration Details
- NPI Number
- 1487437901
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 17, 2023 (2.7128940401767 yrs)
- Last Updated
- Aug 17, 2023
- License
-
8233885-2401 (UT)
Practice Information
- Address
-
9844 S 1300 E STE 200SANDY, UT, 840944689Browse UT providers · Browse ZIP 84094
- Phone
- 8015710099
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SANDY, UT
| Name | Credential | NPI |
|---|---|---|
| GREGORY J GARDNER | — | 1528063575 |
| DR. MOLLY K WILLIAMS | DPT | 1376536987 |
| LARRY D FULLMER | — | 1821075912 |
| TREVOR JACK STEVENSON | — | 1982681078 |
| STEVEN R VERHAAREN | — | 1174500268 |
| STANFORD K HIRAI | — | 1972580074 |
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.