Healthcare Provider Details

I. General information

NPI: 1689148454
Provider Name (Legal Business Name): SARGENT DOIL BARNETT PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2019
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

765 E MARKET PLACE DR
SPANISH FORK UT
84660-1572
US

IV. Provider business mailing address

PO BOX 25537
SALT LAKE CITY UT
84125-0537
US

V. Phone/Fax

Practice location:
  • Phone: 385-344-5430
  • Fax:
Mailing address:
  • Phone: 385-344-5430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number11087472-2401
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number11087472-2401
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: