Korryn Wiese, P.T., C.M.P.T.

Physical Therapist · South Ogden, UT

Individual Active NPI

NPI number 1528036878

Practice location

5856 Harrison Blvd
Suite a
South Ogden, UT 84403-4397
Phone
(801) 475-6415
Fax
(801) 475-6417

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NPI record

NPI
1528036878
Entity type
Individual (Type 1)
Enumeration date
March 11, 2006
Last updated
August 19, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 117905-2401 UT

About Korryn Wiese

Korryn Wiese, P.T., C.M.P.T. is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 5856 Harrison Blvd, Suite a, South Ogden, UT 84403-4397. The NPI number 1528036878 was assigned on March 11, 2006 and the record was last updated on August 19, 2007.

Korryn Wiese lists a license in the registry: #117905-2401 (UT) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Korryn Wiese, P.T., C.M.P.T.?

The NPI number is 1528036878.

What is the phone number of Korryn Wiese?

The phone number listed for the practice location is (801) 475-6415.

Where is Korryn Wiese located?

5856 Harrison Blvd, Suite a, South Ogden, UT 84403-4397.

What is the taxonomy code for Korryn Wiese?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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