Provider Demographics
NPI:1669220976
Name:COMPTON, SEAN (PT, DPT)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:
Last Name:COMPTON
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 1:1945 W 4975 S UNIT 2
Mailing Address - Street 2:
Mailing Address - City:ROY
Mailing Address - State:UT
Mailing Address - Zip Code:84067-2526
Mailing Address - Country:US
Mailing Address - Phone:937-356-9426
Mailing Address - Fax:
Practice Address - Street 1:5323 S MURRAY BLVD
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84123-6973
Practice Address - Country:US
Practice Address - Phone:801-713-3200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13968537-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist