Provider Demographics
NPI:1598216988
Name:MONSON, LOUIS ANDREW (PT, DPT)
Entity Type:Individual
Prefix:
First Name:LOUIS
Middle Name:ANDREW
Last Name:MONSON
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 1:98 N 1100 E
Mailing Address - Street 2:#402
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-2935
Mailing Address - Country:US
Mailing Address - Phone:801-492-2405
Mailing Address - Fax:
Practice Address - Street 1:98 N 1100 E
Practice Address - Street 2:#402
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-2935
Practice Address - Country:US
Practice Address - Phone:801-492-2405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9831349-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist