Provider Demographics
NPI:1417547415
Name:WALBURN, MONICA (DPT)
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:
Last Name:WALBURN
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:
Other - Last Name:ZIEBART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6353 W SUNRISE FIELD DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84009-1363
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11531 S DISTRICT DR STE 1200
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-5782
Practice Address - Country:US
Practice Address - Phone:801-260-3100
Practice Address - Fax:801-260-3101
Is Sole Proprietor?:No
Enumeration Date:2021-01-22
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD282442251X0800X
TN152892251X0800X
UTCP042509T2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic