Individual
BRANDON NIEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
68 N 2830 W, PROVO, UT 84601-2135
(801) 310-2207
Mailing address
68 N 2830 W, PROVO, UT 84601-2135
(801) 310-2207
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9248689-2401
UT
Other
Enumeration date
02/28/2021
Last updated
02/28/2021
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