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

Mr. Mark B Nilsson, PT

Individual provider Physical Therapist · NPI 1306850516

Mr. Mark B Nilsson, PT is a Physical Therapist in Provo, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
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

1034 N 500 W
Provo, UT 84604-3380
Phone: (801) 373-7850
Fax: (801) 357-7997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1101292401 (UT)

Record details

NPI number1306850516
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 30180, Salt Lake City, UT 84130-0180

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