IndividualActive
Andrew Fast
NPI 1629512264 · Physical Therapist · Park City, UT
Provider details
- NPI number
- 1629512264
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 10156968-2401 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
900 Round Valley Dr
Park City, UT 84060-7552
Phone: (435) 658-7350
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 25537
Salt Lake City, UT 84125-0537
Additional practice locations (1)
- 5245 S College DrMurray, UT 84123-2722Phone: (206) 799-5374
Registry dates
- Enumerated
- 2016-12-16
- Last updated
- 2023-06-08
- Certified
- 2023-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.