Provider Demographics
NPI:1902450893
Name:ELZEY, JOSHUA (DPT)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:
Last Name:ELZEY
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 1:3303 N UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-4438
Mailing Address - Country:US
Mailing Address - Phone:801-373-7438
Mailing Address - Fax:801-373-7486
Practice Address - Street 1:1221 E 5800 S STE 1
Practice Address - Street 2:
Practice Address - City:SOUTH OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84405-7140
Practice Address - Country:US
Practice Address - Phone:801-476-2000
Practice Address - Fax:801-476-7000
Is Sole Proprietor?:No
Enumeration Date:2019-07-29
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11381206-8016225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist