IndividualActive
Bret Wardle, PT, DPT
NPI 1366889180 · Physical Therapist · Midvale, UT
Provider details
- NPI number
- 1366889180
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 10653905-2401 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
6900 S 900 E Ste 100
Midvale, UT 84047-5820
Phone: (801) 890-6626
Fax: (801) 432-8788
Approximate (ZIP-level) locationGet directions
Mailing address
6900 S 900 E Ste 100
Midvale, UT 84047-5820
Registry dates
- Enumerated
- 2013-06-03
- Last updated
- 2018-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.