IndividualActive
Colton Samuelsen, DPT
NPI 1700450491 · Physical Therapist · Salt Lake City, UT
Provider details
- NPI number
- 1700450491
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 12273912-8016 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4624 S Holladay Blvd Ste 2
Salt Lake City, UT 84117-7169
Phone: (801) 277-1028
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 711185
Salt Lake City, UT 84171-1185
Registry dates
- Enumerated
- 2021-05-17
- Last updated
- 2021-05-17
- Certified
- 2021-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.