Doctor Name: | MR. BRANDON JUDD |
NPI Number: | 1407876667 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | 290772401 |
Business Practice Address: | 6531 N Landmark Dr Ste E Park City, UT - 84098 |
Business Phone Number: | 4356497335 |
Business Fax Number: | 4356497568 |
Mailing Address: | Po Box 784, MIDWAY |
State: | UT |
Postal Code: | 840490784 |
Phone Number: | 4356497335 |
Fax Number: | 4356497568 |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 01/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 290772401 |
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 |