Philip Michael Boozer, ATC, CPT, CES
Specialist/Technologist, Athletic Trainer in Logan, UT. Individual provider (NPI-1).
NPI number1619388014
StatusActive
Last updated in NPPESMay 19, 2014
Details
- NPI
- 1619388014
- Entity type
- Individual (NPI-1)
- Name
- Mr. Philip Michael Boozer
- Credential
- ATC, CPT, CES
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 19, 2014
- Last updated
- May 19, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
7425 Old Main HlLogan, UT 84322-7425
Phone 435-797-8291
Mailing address
7425 Old Main HlLogan, UT 84322-7425
Phone 435-797-8291
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All 37 Athletic Trainer providers in Logan · All 1,815 providers in Logan
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