IndividualActive
Danielle Fogg, PTA
NPI 1740033794 · Physical Medicine & Rehabilitation Physician · Cottonwood Heights, UT
Provider details
- NPI number
- 1740033794
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 7388179-2402 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1787 E Fort Union Blvd Ste 101
Cottonwood Heights, UT 84121-2868
Phone: (801) 883-8203
Approximate (ZIP-level) locationGet directions
Mailing address
1787 E Fort Union Blvd Ste 101
Cottonwood Heights, UT 84121-2868
Registry dates
- Enumerated
- 2024-04-09
- Last updated
- 2024-04-09
- Certified
- 2024-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.