Individual
TREVOR WILLIAM BRACKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3650 N UNIVERSITY AVE STE 200, PROVO, UT 84604-6658
(801) 375-7100
Mailing address
3650 N UNIVERSITY AVE STE 200, PROVO, UT 84604-6658
(801) 375-7100
(801) 375-7102
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
8180148-8900
UT
Other
Enumeration date
05/15/2023
Last updated
06/05/2025
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