Individual
JEFFREY KEITH BROADBENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
603 N 100 W APT 2, PROVO, UT 84601-1679
(385) 392-5985
Mailing address
603 N 100 W APT 2, PROVO, UT 84601-1679
(385) 392-5985
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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