NPI 1902677701

Austin Gutierrez, PTA

Practitioner Physical Therapy Assistant Provo, UT

Practice location

Address: 280 River Park Dr STE 310, Provo, UT 84604-5764
Phone: (385) 401-5010
Mailing address: 1200 Corporate Dr STE 400, Hoover, AL 35242-5424

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PENDING (UT)

Other Physical Therapy Assistant providers in Utah →

Registry record

NPI: 1902677701
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jan 2024
Record last updated: 10 Jan 2024

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.