Individual
MR. BRANDON M POULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
12198 S STATE ST STE 3, DRAPER, UT 84020-9647
(801) 571-6600
Mailing address
12198 S STATE ST STE 3, DRAPER, UT 84020-9647
(801) 571-6600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
UT
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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