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NPI Code Detail

MEDICARE: SUZANNA RUE SAUSEDO

MEDICARE:   SUZANNA RUE SAUSEDO
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 Therapist14288391-2401UT

General Provider Information

NPI Number : 1922931484
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNA RUE SAUSEDO
Provider Business Mailing Address
First Line : 6900 S 900 E STE 100
Second Line :
City : MIDVALE
State : UT
Zip : 84047-5820
Country : US
Telephone Number : 801-890-6626
Fax Number : 801-432-8788
Provider Business Practice Location Address
First Line : 6900 S 900 E STE 100
Second Line :
City : MIDVALE
State : UT
Zip : 84047-5820
Country : US
Telephone Number : 801-890-6626
Fax Number : 801-432-8788
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “ SUZANNA RUE SAUSEDO ” Practice Location

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