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

Mont Didericksen, PT

Individual provider Physical Therapist · NPI 1063963825

Mont Didericksen, PT is a Physical Therapist in Smithfield, Utah. Registered with an NPI since 2016.

In the registry since
2016
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

551 S 455 E
Smithfield, UT 84335-1355
Phone: (435) 757-4847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1063963825
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 17, 2016
Last updated in NPPESOctober 17, 2016
Mailing address551 S 455 E, Smithfield, UT 84335-1355

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