Healthcare Provider Details

I. General information

NPI: 1114433935
Provider Name (Legal Business Name): TERRY C SAWCHUK, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2017
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5911 S FASHION BLVD STE 200
MURRAY UT
84107-7210
US

IV. Provider business mailing address

5911 S FASHION BLVD STE 200
MURRAY UT
84107-7210
US

V. Phone/Fax

Practice location:
  • Phone: 385-541-2225
  • Fax: 385-541-2200
Mailing address:
  • Phone: 385-541-2225
  • Fax: 385-541-2200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number182275-1205
License Number StateUT

VIII. Authorized Official

Name: TERRY C SAWCHUK
Title or Position: PRESIDENT
Credential: MD
Phone: 801-232-1404