Individual
DR. ELLIOTT DERONG TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4554 FORESTDALE DR UNIT C16, PARK CITY, UT 84098-1392
(435) 494-1336
Mailing address
1448 S 600 E, SALT LAKE CITY, UT 84105-2052
(206) 953-6096
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
14288308-2401
UT
Other
Enumeration date
06/23/2026
Last updated
06/23/2026
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