Provider Demographics
NPI:1437453065
Name:BROUGH, JOSHUA CONOVER (DPT)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:CONOVER
Last Name:BROUGH
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10654 S RIVER HEIGHTS DR STE 240
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-5541
Mailing Address - Country:US
Mailing Address - Phone:801-261-9155
Mailing Address - Fax:
Practice Address - Street 1:10654 S RIVER HEIGHTS DR STE 240
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-5541
Practice Address - Country:US
Practice Address - Phone:801-261-9155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-21
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7662841-2401225100000X
FL26227225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist