Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK D ANDERSON, PT
ActivePhysical Therapy Assistant · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1790889889
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 11, 2006 (19.609582325241 yrs)
- Last Updated
- Jul 8, 2007
- License
-
52908142401 (UT)
Practice Information
- Address
-
508 EAST SOUTH TEMPLESTE 100SALT LAKE CITY, UT, 84102Browse UT providers · Browse ZIP 84102
- Phone
- 8015219222
- Fax
- 8015219333
- 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.