Healthcare Provider Details

I. General information

NPI: 1487998431
Provider Name (Legal Business Name): UTAH PHYSICAL THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2012
Last Update Date: 09/02/2025
Certification Date: 11/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3476 W 4600 S
WEST HAVEN UT
84401-9203
US

IV. Provider business mailing address

PO BOX 66
HOOPER UT
84315-0066
US

V. Phone/Fax

Practice location:
  • Phone: 801-689-0200
  • Fax: 801-689-0201
Mailing address:
  • Phone: 801-689-0200
  • Fax: 801-689-0201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. SARAH J TENNEY
Title or Position: OWNER, VP, COO, CFO
Credential: RN
Phone: 801-689-0200