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NPI Code Detail

MEDICARE: KRISTEN WIRTH PT, DPT

MEDICARE: KRISTEN WIRTH PT, 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 Therapist14288462-2401UT

General Provider Information

NPI Number : 1841120722
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN WIRTH PT, DPT
Provider Business Mailing Address
First Line : 3423 E ANTLER WAY
Second Line :
City : COTTONWOOD HEIGHTS
State : UT
Zip : 84121-4405
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 50 N MEDICAL DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84132-0001
Country : US
Telephone Number : 801-581-2132
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2026
Last Update Date : 05/21/2026

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Directions to “ KRISTEN WIRTH PT, DPT” Practice Location

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