Individual
PAUL KEZERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, PT
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 721-6264
Mailing address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
363A00000X
Physician Assistant
Primary
11289480-1206
UT
Other
Enumeration date
08/18/2021
Last updated
07/07/2026
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