MEDICARE: KARIN INGRID MARIA WESTLEN-BOYER PT

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
1	225100000X	Physical Therapist	118628-2401	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811028277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARIN INGRID MARIA WESTLEN-BOYER PT

Provider Business Mailing Address
First Line	:	370 N H ST
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84103-3104
Country	:	US
Telephone Number	:	801-557-2789
Fax Number	:

Provider Business Practice Location Address
First Line	:	4578 S HIGHLAND DR STE 320
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84117-4214
Country	:	US
Telephone Number	:	801-557-2789
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	02/14/2024

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