National Provider Identifier Database

STEVEN M WIXOM, PT, DPT, CHT – NPI #1093716680
Hand

Contact Information

STEVEN M WIXOM, PT, DPT, CHT
702 E SOUTH TEMPLE
#102
SALT LAKE CITY, UT  84102-1204
Phone: 801-328-8535
Fax: 801-364-1242
Website:
Specialty Taxonomy Code
* Hand 2251H1200X

* Indicates primary specialty

NPI Profile & details for STEVEN M WIXOM

NPI Number 1093716680
Credentials PT, DPT, CHT
Entity Individual
Enumeration date 08/03/2005
Last updated 12/20/2021 - About 4 years ago
Sole proprietor1 No
Identifiers
  • UT License #: 275343-2401
  • UT Other: 27534324000001 BLUE CROSS BLUE SHIELD
  • UT Other: 1108540001 CIGNA DMERC
  • UT Other: 5417 DMBA
  • UT Other: 870388269BR1 EDUCATORS MUTUAL
  • UT Other: 69156 PEHP
  • UT Other: CJ9402 RAILROAD MEDICARE
  • UT Other: 6400654 UNITED HEALTHCARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for STEVEN M WIXOM, PT, DPT, CHT

There are currently no reviews for STEVEN M WIXOM, PT, DPT, CHT

NPIdb - Home
v2.201