Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK RAY ELLGEN, DPT
ActiveDEREK RAY ELLGEN, DPT is a Physical Therapy Assistant healthcare provider located in MOUNT PLEASANT, Utah. NPI 1548783707 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MOUNT PLEASANT, UT
Registration Details
- NPI Number
- 1548783707
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2017 (9.0771343730525 yrs)
- Last Updated
- Mar 17, 2018
- License
-
10448742-2401 (UT)
Practice Information
- Address
-
1050 S MEDICAL DR STE AMOUNT PLEASANT, UT, 846472200Browse UT providers · Browse ZIP 84647
- Phone
- 4354620178
- Fax
- 4354625252
- Primary Specialty
-
Physical Therapy Assistant
225100000X
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.