Geoffrey Buchanan, DPT
Individual provider Active NPI Physical Therapist · Salt Lake City, UT
NPI 1043675002 · NPPES record last updated Dec 17, 2015
Key facts
- NPI
- 1043675002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 9432912-2401 (UT)
- Practice address
- 50 N Medical Dr
Salt Lake City, UT 84132-0001 - Phone
- (801) 581-2121
- NPI assigned
- Dec 17, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9432912-2401 | UT | Yes |
Addresses
Primary practice location
50 N Medical Dr
Salt Lake City, UT 84132-0001
Mailing address
50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone (801) 581-2121
Other providers in Salt Lake City, UT
- Deborah Marie Bryner
- Justin Scott Bryner
- Wallace Franklin Bryner
- Jacob Bryson
- Beau Douglas Buchanan
- James Buchanan
- Janet C Buchanan
- Marcus Buchanan
- Sarah Catharine Buchanan
- Susan E Buchanan
All providers in Salt Lake City, UT · Physical Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.