| Doctor Name: | BRENT PRIVETT |
| NPI Number: | 1447579305 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | PT36539 |
| Business Practice Address: | 7275 N First St Suite 106 Fresno, CA - 937202977 |
| Business Phone Number: | 5594398151 |
| Business Fax Number: | 5594398154 |
| Mailing Address: | 7275 N 1st St 106, FRESNO |
| State: | CA |
| Postal Code: | 937202977 |
| Phone Number: | 5594398151 |
| Fax Number: | 5594398154 |
| NPI Enumeration Date: | 05/18/2010 |
| NPI Last Update Date: | 10/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT36539 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |