Individual
BRENT WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
120650-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107001618103
IHC ADVOCATES # PROVO
UT
01
—
5577514
DMBA PROV # PROVO
UT
01
—
577514
DMBA PROV # OGDEN
UT
01
—
TPRA10491
MOLINA PROV # PROVO
UT
Enumeration date
05/23/2006
Last updated
07/13/2026
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