Connie South
Physical Therapist in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1043435985
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1043435985
- Entity type
- Individual (NPI-1)
- Name
- Miss Connie South
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 16, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2124 | NV | Yes |
Practice location
1952 Fort Union Blvd Ste 100Salt Lake City, UT 84121-6878
Phone 801-942-3311 · Fax 801-495-5303
Mailing address
Po Box 711185Salt Lake City, UT 84171-1185
Phone 801-942-3311 · Fax 801-495-5303
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 791 Physical Therapist providers in Salt Lake City · All 24,510 providers in Salt Lake City
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