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NPI Code Detail

MEDICARE: TAYVA SONNEFELD DPT

MEDICARE: TAYVA SONNEFELD DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist14238324-2401UT

General Provider Information

NPI Number : 1205716354
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYVA SONNEFELD DPT
Provider Business Mailing Address
First Line : PO BOX 30180
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84130-0180
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1280 E STRINGHAM AVE
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84106-2490
Country : US
Telephone Number : 801-213-8371
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2025
Last Update Date : 03/12/2026

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