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Contact Information

TIMOTHY D ANDERSON, MPT
1409 W 1400 N
MAPLETON, UT84664-3358
 Phone: 801-489-5633
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
 

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for TIMOTHY D ANDERSON · (Male)

NPI # 1922483510
Status Active
Credentials MPT (Master of Physical Therapy)
Entity Individual
Enumeration date 07/23/2015
Last updated 07/23/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 310372-2401
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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