Healthcare Provider Details

I. General information

NPI: 1124956891
Provider Name (Legal Business Name): COLIN REED GREER PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

885 E 9400 S
SANDY UT
84094-3670
US

IV. Provider business mailing address

342 E WYANDOTTE AVE
SANDY UT
84070-3587
US

V. Phone/Fax

Practice location:
  • Phone: 801-889-5249
  • Fax:
Mailing address:
  • Phone: 801-889-5249
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number14286940-2401
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: