Individual
MARTIN LEE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1300 N 500 E, LOGAN, UT 84341-2408
(435) 716-2880
Mailing address
PO BOX 25537, SALT LAKE CITY, UT 84125-0537
(435) 716-2880
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2850272401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364291233000
—
UT
Enumeration date
02/02/2007
Last updated
04/06/2026
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