NPI 1013490614

Korlyn Gulbranson, ATC

Practitioner Athletic Trainer Provo, UT

Practice location

Address: 123 Sab APT 4, Provo, UT 84602-1547
Phone: (801) 935-0048
Mailing address: 284 N 200 E APT 4, Provo, UT 84606-2939

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 10933369-4810 (UT)

Other Specialist/Technologist providers in Utah →

Registry record

NPI: 1013490614
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Sep 2018
Record last updated: 10 Sep 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.