Noall H Latimer, PT
Individual provider Active NPI Physical Therapist · Magna, UT
NPI 1932167665 · NPPES record last updated Feb 13, 2008
Key facts
- NPI
- 1932167665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1133172401 (UT)
- Practice address
- 3441 S 8400 W
Suite F
Magna, UT 84044-1884 - Phone
- (801) 250-9107
- Fax
- (801) 250-7840
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1977
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3441 S 8400
Suite F
Magna, UT 84044-1884
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 |
|---|---|---|---|
| 1133172401 | UT | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1133172401 | UT | Yes |
Addresses
Primary practice location
3441 S 8400 W
Suite F
Magna, UT 84044-1884
Mailing address
3441 S 8400 W
Suite F
Magna, UT 84044-1884
Phone (801) 250-9107
Other providers in Magna, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.