Healthcare Provider Details

I. General information

NPI: 1467382226
Provider Name (Legal Business Name): EMMA BARTLOME DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5360 S 1900 W STE B3
ROY UT
84067-2980
US

IV. Provider business mailing address

5349 ADAMS AVE PKWY STE A
OGDEN UT
84405-4736
US

V. Phone/Fax

Practice location:
  • Phone: 801-774-8600
  • Fax: 801-774-8681
Mailing address:
  • Phone: 801-479-9865
  • Fax: 801-479-5846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number12155905-2401
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: