STEVEN M WIXOM, PT, DPT, CHT, Hand SALT LAKE CITY, UT

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	Specialty Code	Provider Type
	Hand	2251H1200X	65	Physical Therapist in Private Practice

Indicates primary specialty

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NPI Profile & details for STEVEN M WIXOM · (Male)

NPI #	`1093716680`
Status	Active
Credentials	PT, DPT, CHT
Entity	Individual
Enumeration date	08/03/2005
Last updated	12/20/2021 - About 4 years ago
Sole proprietor ¹	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(s)	Not Available

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.

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

Contact Information

Specialty

Hand

NPI Profile & details for STEVEN M WIXOM · (Male)

Reviews for STEVEN M WIXOM

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