Individual
MR. SHEA DAVIN BRENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
7400 OLD MAIN HL, LOGAN, UT 84322-7400
(435) 797-1850
Mailing address
805 N 50 W, LOGAN, UT 84321-3360
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
11837369-4810
UT
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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