Brandon Hentkowski, ATC Valid NPI

Individual provider · Athletic Trainer · Salt Lake City, UT

NPI

1588053151

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

2000010234 (MI)

Sex

Male

Sole proprietor

Yes

Enumerated

2015-01-20

Last updated

2015-01-20