Healthcare Provider Details

I. General information

NPI: 1699604736
Provider Name (Legal Business Name): LIANY HOLT PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2183 W MAIN ST STE A101
LEHI UT
84043-6761
US

IV. Provider business mailing address

2183 W MAIN ST STE A101
LEHI UT
84043-6761
US

V. Phone/Fax

Practice location:
  • Phone: 385-352-5116
  • Fax:
Mailing address:
  • Phone: 385-352-5116
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number14287480-2401
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: