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Organization
PEAK REHABILITATION AND SPORTS MEDICINE
Active
Organization
PEAK REHABILITATION AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARTLEY BRETT MORTENSEN MS, PT, ATC (PRESIDENT)
(801) 568-0240
Entity
Organization
Contact information
Practice address
6782 S 1300 E, SALT LAKE CITY, UT 84121-2719
(801) 568-0240
(801) 568-9336
Mailing address
6782 S 1300 E, SALT LAKE CITY, UT 84121-2719
(801) 568-0240
(801) 568-9336
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6262252-2401
UT
2251E1200X
Ergonomics Physical Therapist
5571167-2401
UT
2251S0007X
Sports Physical Therapist
5132199-2401
UT
2251X0800X
Orthopedic Physical Therapist
5132199-2401
UT
2251X0800X
Orthopedic Physical Therapist
5571167-2401
UT
2251X0800X
Orthopedic Physical Therapist
6262252-2401
UT
Other
Enumeration date
07/02/2007
Last updated
09/11/2025
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