| Doctor Name: | MOLLIE REIDY |
| NPI Number: | 1821447814 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 9733920-2401 |
| Business Practice Address: | 9660 S 1300 E Sandy, UT - 840943762 |
| Business Phone Number: | 8015012262 |
| Business Fax Number: | |
| Mailing Address: | 2736 S Adams St, Unit 1 SOUTH SALT LAKE |
| State: | UT |
| Postal Code: | 841153376 |
| Phone Number: | 6162401394 |
| Fax Number: | |
| NPI Enumeration Date: | 06/09/2016 |
| NPI Last Update Date: | 06/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 9733920-2401 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |