Individual provider · Type 1 NPI
Joseph Taylor Bonham, DPT
Pediatric Physical Therapist · Centerville, UT
Practice location
138 Casa Loma Dr
Centerville, UT 84014-1257
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 13974481-2401 (UT) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
About NPI 1225956543
Joseph Taylor Bonham, DPT's National Provider Identifier is 1225956543, issued on Jul 6, 2026. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Centerville, UT. The record was last updated on Jul 6, 2026.