Crispin Dalsing
Individual provider Active NPI Physical Therapist · Roosevelt, UT
NPI 1649233149 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1649233149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 363334-2401 (UT)
- Practice address
- 250 W 300 N
Roosevelt, UT 84066-2336 - Phone
- (435) 722-6163
- Fax
- (435) 722-9291
- NPI assigned
- Apr 7, 2006
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 363334-2401 | UT | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 363334-2401 | UT | Yes |
Addresses
Primary practice location
250 W 300 N
Roosevelt, UT 84066-2336
Mailing address
250 W 300 N
Roosevelt, UT 84066-2336
Phone (435) 722-6163
Other providers in Roosevelt, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. 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.