Individual
MR. BRIAN LYDELL COLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
850 BRUSHWELLMAN RD, OAK CITY, UT 84624
(435) 864-6511
(435) 864-0901
Mailing address
850 BRUSHWELLMAN RD, OAK CITY, UT 84624
(435) 864-6511
(435) 864-0901
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2306941-4810
UT
Other
Enumeration date
03/01/2006
Last updated
04/27/2016
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