IndividualActive
Casey Fenger, MD
NPI 1336777432 · Physical Medicine & Rehabilitation Physician · Salt Lake City, UT
Provider details
- NPI number
- 1336777432
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 12404276-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
30 N 1900 E Rm 1c301
Salt Lake City, UT 84132-0002
Phone: (801) 585-2589
Approximate (ZIP-level) locationGet directions
Mailing address
30 N 1900 E Rm 1c301
Salt Lake City, UT 84132-0002
Registry dates
- Enumerated
- 2020-04-01
- Last updated
- 2025-12-05
- Certified
- 2025-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.