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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | 999000021002 | 05 | |
UT | UDOH CFHS | 1699878942 | 01 |
Street Address |
44 MEDICAL DRIVE |
City | SALT LAKE |
State | UT |
Zip Code | 84113 |
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 Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
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 |
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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.