Individual
MITCHELL BELLISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1685 W 2200 S, SALT LAKE CITY, UT 84119-1456
(801) 975-1027
Mailing address
PO BOX 25537, SALT LAKE CITY, UT 84125-0537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13149266-2401
UT
2251X0800X
Orthopedic Physical Therapist
13149266-2401
UT
Other
Enumeration date
01/24/2024
Last updated
04/22/2026
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