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

Katelyn Laaksonen

Individual provider Physical Therapist · NPI 1134985815

Katelyn Laaksonen is a Physical Therapist in Private Practice in Providence, Utah. Qualified in 2023, 3 years ago. Practices with Mountain Land Rehabilitation LLC, a 203-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
3
Licensed in
UT
In the registry since
2024
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Practice location Address checks out

550 W 465 N Ste 504
Providence, UT 84332-8014
Phone: (435) 535-3677
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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 13737595-2401 (UT)

Record details

NPI number1134985815
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 21, 2024
Last updated in NPPESFebruary 21, 2024
Certification dateJanuary 31, 2024
Mailing address550 W 465 N Ste 504, Providence, UT 84332-8014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mountain Land Rehabilitation Llc — 203 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Providence