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

Mark R Moeller, PT

Individual provider Physical Therapist · NPI 1194870592

Mark R Moeller, PT is a Physical Therapist in Park City, Utah. Licensed in Utah. Registered with an NPI since 2007.

Licensed in
UT
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2015 Sidewinder Dr
Park City, UT 84060-7323
Phone: (435) 645-9095
Fax: (435) 645-9092
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Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 3296682401 (UT)

Record details

NPI number1194870592
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 24, 2007
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 682226, Park City, UT 84068-2226

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