IndividualActive
Theresa Holden, PT
NPI 1669565131 · Pediatric Physical Therapist · Salt Lake, UT
Provider details
- NPI number
- 1669565131
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 110220-2401 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
44 Medical Drive
Salt Lake, UT 84113
Phone: (801) 584-8521
Approximate (ZIP-level) locationGet directions
Mailing address
3020 S Melbourne Street
Salt Lake, UT 84106
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.