Penny H Anderson, L.M.T., M.M.P.
Individual provider Active NPI Mechanotherapist · Orem, UT
NPI 1144665258 · NPPES record last updated May 2, 2013
Key facts
- NPI
- 1144665258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mechanotherapist 172M00000X
- License
- 5323962-4701 (UT)
- Practice address
- 881 S Orem Blvd
Suite 2
Orem, UT 84058-5033 - Phone
- (801) 688-5248
- NPI assigned
- May 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5323962-4701 | UT | MD | Mechanotherapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 5323962-4701 | UT | Yes |
Addresses
Primary practice location
881 S Orem Blvd
Suite 2
Orem, UT 84058-5033
Mailing address
6224 S Lobelia Dr
West Jordan, UT 84081-4001
Phone (801) 688-5248
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2013. 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.