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

Amanda Wambach, PT

Individual provider Physical Therapist · NPI 1811602592

Amanda Wambach, PT is a Physical Therapist in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Colorado and Utah.

Licensed in
CO, UT
In the registry since
2023
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone: (801) 662-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11672796-2401 (UT)
Physical Therapist Taxonomy 225100000X · Licence PTL.16795 (CO)

Record details

NPI number1811602592
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedJanuary 17, 2023
Last updated in NPPESMay 11, 2023
Certification dateMay 11, 2023

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