# PERSONAL PT

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

## Provider details

- **NPI number:** 1770897803
- **Authorized official:** JOANNA CLARICE KAHN P.T. (OWNER / PHYSICAL THERAPIST)
- **Authorized official phone:** (802) 598-6884

## Contact information

- **Practice address:** 2174 SUNRISE CIR, PARK CITY, UT 84060-7409
- **Practice address phone:** (802) 598-6884
- **Mailing address:** 2174 SUNRISE CIR, PARK CITY, UT 84060-7409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 33604 | CA | — |
| 225100000X | Physical Therapist | 6039604-2401 | UT | Yes |

## Other

- **Enumeration date:** 07/30/2010
- **Last updated:** 07/30/2010