Andy Birschbach
Specialist/Technologist, Athletic Trainer in Ogden, UT. Individual provider (NPI-1).
NPI number1124565635
StatusActive
Last updated in NPPESJan 22, 2017
Details
- NPI
- 1124565635
- Entity type
- Individual (NPI-1)
- Name
- Andy Birschbach
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 22, 2017
- Last updated
- Jan 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
1435 Village Dr Dept 2805Ogden, UT 84408-2805
Phone 801-626-7656
Mailing address
1435 Village Dr Dept 2805Ogden, UT 84408-2805
Phone 801-626-7656
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