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

Liesel Gonzalez

Individual provider Physical Therapist · NPI 1285509125

Liesel Gonzalez is a Physical Therapist in South Jordan, Utah. Licensed in Utah. Registered with an NPI since 2025.

Licensed in
UT
In the registry since
2025

Practice location Address checks out

10619 S Jordan Gtwy Ste 205 Ste 205
South Jordan, UT 84095-3969
Phone: (801) 264-0213
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 375770 (UT)

Record details

NPI number1285509125
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedOctober 9, 2025
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025
Mailing address10619 S Jordan Gtwy Ste 205, South Jordan, UT 84095-3969

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