Kirstine Adamson

Individual provider Active NPI Physical Therapy Assistant · Ogden, UT

NPI 1053871608 · NPPES record last updated Mar 20, 2019

Key facts

NPI
1053871608
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
10388983-2402 (UT)
Practice address
400 E 5350 S
Ogden, UT 84405-6931
Phone
(801) 479-9855
NPI assigned
Mar 20, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
10388983-2402UTMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 10388983-2402 UT Yes

Addresses

Primary practice location

400 E 5350 S
Ogden, UT 84405-6931

Mailing address

8316 S Durham St Apt D205
Sandy, UT 84070-1255
Phone (801) 864-7798

Other providers in Ogden, UT

All providers in Ogden, UT · Physical Therapy Assistant in Utah

Sources for this page

Verify at the official NPI Registry.