IndividualActive
Andrew Phippen
NPI 1083069025 · Physical Medicine & Rehabilitation Physician · Holladay, UT
Provider details
- NPI number
- 1083069025
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 284016-2401 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2960 E Casto Ln
Holladay, UT 84117-7123
Phone: (801) 556-1866
Fax: (801) 649-5966
Approximate (ZIP-level) locationGet directions
Mailing address
2960 E Casto Ln
Holladay, UT 84117-7123
Additional practice locations (1)
- 383 E 60 SAmerican Fork, UT 84003-3835Phone: (801) 576-6417Fax: (801) 576-7536
Registry dates
- Enumerated
- 2016-04-27
- Last updated
- 2021-05-03
- Certified
- 2021-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.