Healthcare Provider Details

I. General information

NPI: 1922697523
Provider Name (Legal Business Name): JUAN FELIPE NAVARRO DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2021
Last Update Date: 06/28/2022
Certification Date: 06/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1577 W 7000 S STE 100
WEST JORDAN UT
84084-7493
US

IV. Provider business mailing address

9844 S 1300 E STE 300
SANDY UT
84094-4693
US

V. Phone/Fax

Practice location:
  • Phone: 801-566-6301
  • Fax:
Mailing address:
  • Phone: 801-571-0099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberLPT-32271
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number11802753-2401
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: