MEDICARE: WENDY NOEL GALOVICH 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
1	225100000X	Physical Therapist	14230659-2401	UT

General Provider Information

NPI Number	:	1851277537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY NOEL GALOVICH DPT

Provider Business Mailing Address
First Line	:	PO BOX 25537
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84125-0537
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5373 W LAKE PARK BLVD
Second Line	:
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84120-8208
Country	:	US
Telephone Number	:	801-902-7940
Fax Number	:

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

Provider Enumeration Date	:	08/15/2025
Last Update Date	:	12/01/2025

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