NPI 1518658384

Trevor William Brackney

Practitioner Integrative Medicine Physician Provo, UT

Practice location

Address: 3650 N University Ave STE 200, Provo, UT 84604-6658
Phone: (801) 375-7100

Registered specialties

Integrative Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202D00000X Licence 8180148-8900 (UT)

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Registry record

NPI: 1518658384
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 May 2023
Record last updated: 5 Jun 2025

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.