Wasatch Therapy INC
Clinic/Center, Physical Therapy in Ogden, UT. Organization (NPI-2).
NPI number1700985249
StatusActive
Last updated in NPPESOct 20, 2026
Details
- NPI
- 1700985249
- Entity type
- Organization (NPI-2)
- Legal business name
- Wasatch Therapy INC
- Organization subpart
- No
- Enumeration date
- Sep 21, 2006
- Certification date
- Oct 20, 2026
- Last updated
- Oct 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
| 225100000X | Physical Therapist | 5946448-2401 | UT | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
5349 S Adams AveSuite A
Ogden, UT 84405-4736
Phone 801-479-9865 · Fax 801-479-5846
Mailing address
5349 Adams Ave Pkwy Ste AOgden, UT 84405-4736
Phone 801-479-9865 · Fax 801-479-5846
Authorized official
Melissa Itaaehau
Owner
8014799865
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