MEDICARE: UINTA PHYSICAL THERAPY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1215260096
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UINTA PHYSICAL THERAPY, INC.

Provider Business Mailing Address
First Line	:	170 YELLOW CREEK RD STE D
Second Line	:
City	:	EVANSTON
State	:	WY
Zip	:	82930-5200
Country	:	US
Telephone Number	:	307-783-8068
Fax Number	:	307-783-8073

Provider Business Practice Location Address
First Line	:	170 YELLOW CREEK RD
Second Line	:	SUITE D
City	:	EVANSTON
State	:	WY
Zip	:	82930-5200
Country	:	US
Telephone Number	:	307-783-8068
Fax Number	:	307-783-8073

Authorized Official
Title or Position	:	OWNER
Name	:	DAREN L MARTIN
Credential	:
Telephone Number	:	307-783-8068

Provider Enumeration Date	:	09/11/2009
Last Update Date	:	08/26/2025

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