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NPI Code Detail

MEDICARE: KATIE WERKEMA

MEDICARE:   KATIE  WERKEMA
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 Therapist14264258-2401UT

General Provider Information

NPI Number : 1407592413
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE WERKEMA
Provider Business Mailing Address
First Line : 913 E WELL SPRING RD APT 26F
Second Line :
City : MIDVALE
State : UT
Zip : 84047-5010
Country : US
Telephone Number : 616-818-6656
Fax Number :
Provider Business Practice Location Address
First Line : 1950 E FORT UNION BLVD # 2
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84121-6894
Country : US
Telephone Number : 801-943-1041
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2022
Last Update Date : 01/09/2026

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Directions to “ KATIE WERKEMA ” Practice Location

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