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

Connan Wallace, PT, DPT

Individual provider Physical Therapist · NPI 1548019730

Connan Wallace, PT, DPT is a Physical Therapist in Vineyard, Utah. Licensed in Utah. Registered with an NPI since 2024.

Licensed in
UT
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

691 E 400 N Ste 210
Vineyard, UT 84059-7510
Phone: (801) 766-4244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (UT)

Record details

NPI number1548019730
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 18, 2024
Last updated in NPPESMay 18, 2024
Certification dateMay 18, 2024
Mailing address4087 W Great Neck Dr, South Jordan, UT 84009-6021

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