NPI 1043412562

Benjamin H Ross, MSATC

Practitioner Athletic Trainer Provo, UT

Practice location

Address: 3570 N. Timpview Dr., Provo, UT 84604
Phone: (801) 221-9720
Mailing address: 439 N 1040 E, Orem, UT 84097-8281

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 5471928-4810 (UT)

Other Specialist/Technologist providers in Utah →

Registry record

NPI: 1043412562
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jun 2007
Record last updated: 8 Jul 2007

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.