Individual
CHERYL A FARNSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1151 EAST 3900 SOUTH, STE B-240, SALT LAKE CITY, UT 84124
(801) 685-9212
(801) 685-9195
Mailing address
1151 EAST 3900 SOUTH STE. B-240, SALT LAKE CITY, UT 84124
(801) 685-9212
(801) 685-9195
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
284377-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005580701
MEDICARE ID
UT
01
—
2988511
CIGNA
UT
01
—
5417
DMBA
UT
01
—
61201
PEHP
UT
01
—
6400227
UNITED HEALTHCARE
UT
01
—
870388269BR1
EDUCATORS MUTUAL
UT
01
—
CJ9402
RAILROAD MEDICARE
UT
01
—
QM0000047851
ALTIUS
UT
Enumeration date
08/03/2005
Last updated
07/31/2008
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