Individual
BRENNEN REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1400 N 500 E, LOGAN, UT 84341-2455
(435) 716-2890
Mailing address
500 E 1400 N, LOGAN, UT 84341
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
8321742-4810
UT
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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