NPI 1902454903

Brian Merlin Allen

Practitioner Physical Therapy Assistant Provo, UT

Practice location

Address: 1001 N 500 W, Provo, UT 84604-3305
Phone: (801) 660-9280
Mailing address: 597 E Center St, Heber City, UT 84032-1912

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 4824225-2402 (UT)

Other Physical Therapy Assistant providers in Utah →

Registry record

NPI: 1902454903
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Sep 2019
Record last updated: 3 Sep 2019

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.