IndividualActive
Cody Crandall, DO
NPI 1043070550 · Physical Medicine & Rehabilitation Physician · Salt Lake City, UT
Provider details
- NPI number
- 1043070550
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 14240770-1204 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone: (801) 419-4120
Approximate (ZIP-level) locationGet directions
Mailing address
50 N Medical Dr
Salt Lake City, UT 84132-0001
Registry dates
- Enumerated
- 2024-03-21
- Last updated
- 2025-09-09
- Certified
- 2025-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.