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Contact Information

MATTHEW MARCIANO, DPT, PT, CSCS
974 W 14420 S STE 5
BLUFFDALE, UT84065-1630
 Phone: 773-425-2772
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Sports

2251S0007X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MATTHEW MARCIANO · (Male)

NPI Number 1699446302
Status Active
Credentials DPT, PT, CSCS
Entity Individual
Enumeration date 09/22/2021
Last updated 09/22/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 11793400-2401
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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