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

Mr. Grant Logan Blatter, MPT

Individual provider Physical Therapist · NPI 1558377309

Mr. Grant Logan Blatter, MPT is a Physical Therapist in Private Practice in St George, Utah. Qualified in 1999, 27 years ago. Practices with Revere Health PC, a 410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
27
Licensed in
UT
In the registry since
2006
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

See every abbreviation used in this directory →

Practice location Address checks out

2825 E Mall Dr
St George, UT 84790-1954
Phone: (435) 986-4133
Fax: (435) 627-1809
Show map & directions

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

Additional practice locations (1)

  • 1449 N 1400 W Ste 21, St George, UT 84770-5237 — (435) 986-4133

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 281544-2401 (UT)

Record details

NPI number1558377309
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025
Mailing address1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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