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NPI Code Detail

MEDICARE: ALEX JUSTIN WHITE DPT

MEDICARE: ALEX JUSTIN WHITE DPT
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1215871629
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEX JUSTIN WHITE DPT
Provider Business Mailing Address
First Line : 9844 S 1300 E STE 200
Second Line :
City : SANDY
State : UT
Zip : 84094-4689
Country : US
Telephone Number : 801-572-0690
Fax Number :
Provider Business Practice Location Address
First Line : 9844 S 1300 E STE 200
Second Line :
City : SANDY
State : UT
Zip : 84094-4689
Country : US
Telephone Number : 801-572-0690
Fax Number : 801-572-0696
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2026
Last Update Date : 04/16/2026

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Directions to “ ALEX JUSTIN WHITE DPT” Practice Location

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