THERESA A HOLDEN


Address: 44 Medical Drive, Salt Lake, UT 84113
Phone: 8015848521

THERESA A HOLDEN (NPI# 1669565131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669565131
Entity Type Individual
Full Name THERESA A HOLDEN
Credential PT
Practice Address 44 Medical Drive
Salt Lake
UT 84113
Mailing Address 3020 S Melbourne Street
Salt Lake
UT 84106
Practice Telephone 8015848521
Mailing Telephone 8014674637
Enumeration Date 2006-10-02
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251P0200X Physical Therapist
Specialization: Pediatrics
110220-2401 UT Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
UT 999000021002 05
UT UDOH CFHS 1699878942 01

Office Location

Street Address 44 MEDICAL DRIVE
City SALT LAKE
State UT
Zip Code 84113

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386111060 Melissa Marie Dixon Psychologist Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 2018-10-31
1366965618 Ashley Stuart Psychologist 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 2017-07-19
1487945135 Justin C Wheeler Pediatrics 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 2011-04-29
1154612117 Dana Boucek Pediatrics 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 2011-04-26
1285959502 Anna Katherine Eyre Ermarth Pediatrics 81 Mario Capecchi, Salt Lake City, UT 84113 2010-03-30
1457682072 Elizabeth K Cho Nurse Practitioner 100 North Mario Cappechi Dr., Salt Lake City, UT 84113 2010-01-21
1528290848 Nancy Crandell Brown Nurse Practitioner 100 North Mario Cappechi Drive, Salt Lake City, UT 84113 2009-08-20
1679708481 Primary Children's Medical Center General Acute Care Hospital 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 2009-05-22
1467697235 Tara Hook Physical Therapist 100 North Mario Capecchi Dr, Salt Lake City, UT 84113 2008-12-09
1144474768 Jennifer K Workman Pediatrics 100 N Mario Capecchi Drive, Pediatric Crtical Care, Primary Children's Hospital, Salt Lake City, UT 84113 2008-11-10
Find all providers in zip 84113

Taxonomy Information

Taxonomy Code 2251P0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962024943 Roots Pediatric Therapy Physical Therapist 5976 Kingsford Ave, Park City, UT 84098-6315 2020-05-12
1578082954 Ot Innovations, LLC Physical Therapist 365 W 1550 N Ste H, Layton, UT 84041-2279 2017-09-16
1053856229 Bradford Scott Bentley Jr. Physical Therapist 3741 W 12600 S, Ste 100, Riverton, UT 84065 2016-12-27
1366588030 Cathy G Hill Physical Therapist 520 Quail Ridge Dr, Washington, UT 84780-1454 2007-01-30
1609408822 Nicole Pasdera Physical Therapist 90 Albion Village Way, Sandy, UT 84070-4013 2020-02-05
1629625488 Renee Adele Hensiek Physical Therapist 100 Mario Capecchi Drive, Salt Lake City, UT 84113 2019-08-26
1114483914 Kayla Marie Lee Physical Therapist 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2019-02-16
1467927962 Linda De La Torre-alva Physical Therapist 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2018-10-10
1720578610 Jane Campbell Swanson Physical Therapist 280 N Main St # 2, Bountiful, UT 84010-6136 2018-05-16
1275055816 Brandi Dohmen Physical Therapist 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2017-07-14
Find all providers with the same taxonomy

Competitor

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City SALT LAKE
Zip Code 84113

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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