IndividualActive
Millard Bulanon, P.T.
NPI 1700999752 · Physical Therapist · Salt Lake City, UT
Provider details
- NPI number
- 1700999752
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- No
- License
- 5036756-2401 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone: (801) 581-2121
Street-level locationGet directions
Mailing address
Po Box 510721
Salt Lake City, UT 84151-0721
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2021-12-06
- Certified
- 2021-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.