Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Independence Rehab

Organization Physical Therapist · NPI 1407982630

Independence Rehab is a Physical Therapist in Salt Lake City, Utah. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
3

Practice location Address checks out

1430 E 4500 S
Salt Lake City, UT 84117-4208
Phone: (801) 426-4905
Fax: (801) 426-4953
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1407982630
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chad Fullmer — Vice President · (801) 635-6602
NPI enumeratedFebruary 23, 2007
Last updated in NPPESDecember 23, 2011
Mailing address797 E 640 N, Lindon, UT 84042-1647

Other providers in Salt Lake City