NPI 1720655459

Benjamin Josh Carlson, CPO

Practitioner Prosthetist Layton, UT

Practice location

Address: 975 N Main St STE 3a, Layton, UT 84041-2200
Phone: (385) 377-3833
Fax: (877) 326-3388
Mailing address: 1055 N 300 W STE 301, Provo, UT 84604-3373

Registered specialties (3)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence CPO03568

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence CPO03568

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Orthotic Fitter

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

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Registry record

NPI: 1720655459
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jun 2021
Record last updated: 15 Jun 2021

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.