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

Dr. Mirjam Ravneng, DPT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1407401425

Dr. Mirjam Ravneng, DPT is a Physical Medicine & Rehabilitation Physician in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2019.

Licensed in
UT
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

575 E 4500 S
Salt Lake City, UT 84107-2973
Phone: (801) 266-3939
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 11027277-2401 (UT)

Record details

NPI number1407401425
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 6, 2019
Last updated in NPPESAugust 6, 2019

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