Healthcare Provider Details

I. General information

NPI: 1720023450
Provider Name (Legal Business Name): CENTRAL UTAH PHYSICAL THERAPY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 E 1000 N SUITE A
RICHFIELD UT
84701-1850
US

IV. Provider business mailing address

80 E 1000 N STE A
RICHFIELD UT
84701-1850
US

V. Phone/Fax

Practice location:
  • Phone: 435-896-6653
  • Fax: 435-896-6662
Mailing address:
  • Phone: 435-896-6653
  • Fax: 435-896-6662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number108532-2401
License Number StateUT

VIII. Authorized Official

Name: JEFFERY LYNN THALMAN
Title or Position: OWNER
Credential: P.T.
Phone: 435-896-6653