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NPI Code Detail

MEDICARE: MR. JAMES GORDON FELT PT

MEDICARE: MR. JAMES GORDON FELT PT
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 Therapist102840-2401UT

General Provider Information

NPI Number : 1285612697
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES GORDON FELT PT
Provider Business Mailing Address
First Line : 5734 S 1475 E
Second Line : SUITE 300
City : SOUTH OGDEN
State : UT
Zip : 84403-4596
Country : US
Telephone Number : 801-475-7628
Fax Number : 801-475-7639
Provider Business Practice Location Address
First Line : 5734 SOUTH 1475 EAST
Second Line : #300
City : SOUTH OGDEN
State : UT
Zip : 84403-4698
Country : US
Telephone Number : 801-475-7628
Fax Number : 801-475-7639
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2006
Last Update Date : 05/17/2026

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