Individual
RYAN MICHAEL BRUBAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1952 E FORT UNION BLVD, SALT LAKE CITY, UT 84121-6877
(801) 942-3311
Mailing address
5 W 1060 N, HURRICANE, UT 84737-1913
(435) 218-6726
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9421945-2402
UT
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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