Healthcare Provider Details

I. General information

NPI: 1386561652
Provider Name (Legal Business Name): DOROTHY FARAH NELLA CADEMIS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8381 S CREEK HOLLOW CV
SANDY UT
84093-4003
US

IV. Provider business mailing address

8381 S CREEK HOLLOW CV
SANDY UT
84093-4003
US

V. Phone/Fax

Practice location:
  • Phone: 801-691-4034
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number14287953-2401
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: