# ASPEN PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366366486
- **Authorized official:** NICOLE LYNN PETERSON DPT (MEMBER)
- **Authorized official phone:** (801) 404-4142

## Contact information

- **Practice address:** 1045 N 650 W, OREM, UT 84057-8407
- **Practice address phone:** (801) 404-4142
- **Mailing address:** 1045 N 650 W, OREM, UT 84057-8407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2026
- **Last updated:** 10/15/2026