Healthcare Provider Details

I. General information

NPI: 1487667135
Provider Name (Legal Business Name): FRANDSEN & ALBRECHT PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 01/17/2025
Certification Date: 01/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 N MAIN ST
PANGUITCH UT
84759-7705
US

IV. Provider business mailing address

PO BOX 829
PANGUITCH UT
84759-0829
US

V. Phone/Fax

Practice location:
  • Phone: 435-616-2074
  • Fax:
Mailing address:
  • Phone: 435-616-2074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number4849766-2401
License Number StateUT

VIII. Authorized Official

Name: DAVID BERT FRANDSEN
Title or Position: PHYSICAL THERAPIST
Credential: MSPT
Phone: 435-676-2073