Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mischa Wayan-Levine

Individual provider Physical Therapy Assistant · NPI 1366984098

Mischa Wayan-Levine is a Physical Therapy Assistant in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2016

Practice location Address checks out

1512 S Natura St
Salt Lake City, UT 84104-2172
Phone: (360) 820-1015
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 8603819-2402 (UT)

Record details

NPI number1366984098
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 11, 2016
Last updated in NPPESSeptember 9, 2022
Certification dateSeptember 9, 2022

Other providers in Salt Lake City