MEDICARE: DAVID L WETZEL LLC

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	225100000X	Physical Therapist	106687-2401	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790212777
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID L WETZEL LLC

Provider Business Mailing Address
First Line	:	12403 S DOREEN DR
Second Line	:
City	:	RIVERTON
State	:	UT
Zip	:	84065-4360
Country	:	US
Telephone Number	:	801-448-1770
Fax Number	:	801-877-5356

Provider Business Practice Location Address
First Line	:	12403 S DOREEN DR
Second Line	:
City	:	RIVERTON
State	:	UT
Zip	:	84065-4360
Country	:	US
Telephone Number	:	801-448-1770
Fax Number	:	801-877-5356

Authorized Official
Title or Position	:	PRES./OWNER
Name	:	MR. DAVID L WETZEL
Credential	:	PT
Telephone Number	:	801-448-1770

Provider Enumeration Date	:	05/22/2017
Last Update Date	:	07/21/2022

Similar Medicare Providers

1306840129 — MR. DAVID L WETZEL RPT
Practice Location Address:

12403 S DOREEN DR
RIVERTON, UT
84065-4360

Practice Phone: 801-448-1770
Practice Fax: 801-877-5356

1619539780 — KIMBERLY FJELSTROM DPT
Practice Location Address:

12403 S DOREEN DR
RIVERTON, UT
84065-4360

Practice Phone: 385-424-2938
Practice Fax:

1770113177 — CLAUDIA GIANNELLI
Practice Location Address:

12403 S DOREEN DR
RIVERTON, UT
84065-4360

Practice Phone: 801-448-1770
Practice Fax:

1033905518 — RENOVA WELLNESS AND CONSULTING PLLC
Practice Location Address:

2332 W 12600 S STE B
RIVERTON, UT
84065-7172

Practice Phone: 801-317-8522
Practice Fax:

1912328576 — HEATHER CHRISTINE JENKINS CMHC
Practice Location Address:

2332 W 12600 S STE B
RIVERTON, UT
84065-7172

Practice Phone: 801-317-8522
Practice Fax:

1417592379 — JOSEPH GLEED
Practice Location Address:

2332 W 12600 S STE B
RIVERTON, UT
84065-7172

Practice Phone: 801-317-8522
Practice Fax:

Directions to “DAVID L WETZEL LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.