Individual
BENJAMIN JOSH CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
975 N MAIN ST STE 3A, LAYTON, UT 84041-2200
(385) 377-3833
(877) 326-3388
Mailing address
1055 N 300 W STE 301, PROVO, UT 84604-3373
(801) 702-9191
(877) 326-3388
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO03568
—
224P00000X
Prosthetist
Primary
CPO03568
—
225000000X
Orthotic Fitter
—
—
Other
Enumeration date
06/10/2021
Last updated
06/15/2021
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