Individual
AVERY NICOLE ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(833) 577-3422
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12844006-2401
UT
2251X0800X
Orthopedic Physical Therapist
12844006-2401
UT
Other
Enumeration date
06/28/2022
Last updated
02/27/2026
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