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

Heather Diane Richerson, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1104969773

Heather Diane Richerson, PHYSICALTHERAPIST is a Physical Therapist in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2007

Practice location Address checks out

1952 Fort Union Blvd Ste 100
Salt Lake City, UT 84121-6877
Phone: (801) 942-3311
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 3131802401 (UT)

Record details

NPI number1104969773
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICALTHERAPIST
Sole proprietorYes
NPI enumeratedFebruary 14, 2007
Last updated in NPPESJuly 8, 2007

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