Provider Demographics
NPI:1467091819
Name:LANGFORD, DANIEL PAUL (PT, DPT)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:PAUL
Last Name:LANGFORD
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6017A FASHION POINT DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-4851
Mailing Address - Country:US
Mailing Address - Phone:801-317-1618
Mailing Address - Fax:801-459-3707
Practice Address - Street 1:6017A FASHION POINT DR
Practice Address - Street 2:
Practice Address - City:SOUTH OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-4851
Practice Address - Country:US
Practice Address - Phone:801-317-1618
Practice Address - Fax:801-459-3707
Is Sole Proprietor?:No
Enumeration Date:2020-01-02
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11579490-8016225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist