Individual
MR. BRADY GORDON HOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5927 S 4075 W, ROY, UT 84067-8104
(801) 710-6288
Mailing address
5927 S 4075 W, ROY, UT 84067-8104
(801) 710-6288
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
7453725-4810
UT
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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