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

Marisa Christine Pugh, PTA

Individual provider Physical Therapy Assistant · NPI 1356087811

Marisa Christine Pugh, PTA is a Physical Therapy Assistant in South Salt Lake, Utah. Licensed in Utah. Registered with an NPI since 2022.

Licensed in
UT
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2500 S State St
South Salt Lake, UT 84115-3164
Phone: (385) 646-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 10631644-2402 (UT)

Record details

NPI number1356087811
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 9, 2022
Last updated in NPPESMay 24, 2022
Certification dateMay 24, 2022

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