Provider Demographics
NPI:1891289740
Name:ZOLLINGER, MATTHEW COURT (DPT)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:COURT
Last Name:ZOLLINGER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:844 S 800 W STE 206
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:UT
Mailing Address - Zip Code:84062-4567
Mailing Address - Country:US
Mailing Address - Phone:801-210-0464
Mailing Address - Fax:
Practice Address - Street 1:844 S 800 W STE 206
Practice Address - Street 2:
Practice Address - City:PLEASANT GROVE
Practice Address - State:UT
Practice Address - Zip Code:84062-4567
Practice Address - Country:US
Practice Address - Phone:801-210-0464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-14
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11818816-2401225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist