Individual
NATHAN LASSISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 587-7005
Mailing address
4 HAMPSHIRE CT, MASON CITY, IA 50401-3527
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14221748-2401
UT
Other
Enumeration date
06/21/2025
Last updated
01/23/2026
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