Doctor Name: | BRIAN J RODRIGUEZ |
NPI Number: | 1336223007 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT DPT OCS |
License Number: | 119556-2401 |
Business Practice Address: | 3181 West 9000 South #103 West Jordan, UT - 840888623 |
Business Phone Number: | 8015611061 |
Business Fax Number: | 8015611570 |
Mailing Address: | 3181 West 9000 South #103, WEST JORDAN |
State: | UT |
Postal Code: | 840888623 |
Phone Number: | 8015611061 |
Fax Number: | 8015611570 |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 10/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 119556-2401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |