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

Kyle Herauf

Individual provider Physical Therapist · NPI 1609208156

Kyle Herauf is a Physical Therapist in Private Practice in Salt Lake City, Utah. Qualified in 2013, 13 years ago. Practices with Mountain Land Rehabilitation LLC, a 203-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
13
Licensed in
ID
In the registry since
2013
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1952 E 7000 S
Salt Lake City, UT 84121-6877
Phone: (801) 942-3311
Fax: (801) 495-5303
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-3328 (ID)

Record details

NPI number1609208156
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 7, 2013
Last updated in NPPESAugust 7, 2013

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Mountain Land Rehabilitation Llc — 203 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Salt Lake City