Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PHILLIP JAMES ADRIAN HARTOG, ATC
Active Sole ProprietorMR. PHILLIP JAMES ADRIAN HARTOG, ATC is a Athletic Trainer healthcare provider located in PROVO, Utah. NPI 1124542451 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PROVO, UT
Registration Details
- NPI Number
- 1124542451
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2017 (9.0214632954618 yrs)
- Last Updated
- Jul 21, 2022
- License
-
9903810-4810 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1143 SMITH FIELDHOUSEPROVO, UT, 84602Browse UT providers · Browse ZIP 84602
- Phone
- 8014224828
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| DR. KENNETH L KNIGHT | PHD, ATC | 1477525079 |
| MS. PATTY JEAN FAHRINGER | ATC | 1376579813 |
| TERI J RIDING | ATC | 1073543302 |
| MR. JEFFREY SCOTT HURST | MS, ATC-L, LRPT | 1750449674 |
| DR. JON TYSON HOPKINS | PHD, ATC | 1962563288 |
| MRS. ERIN E FANELLO | ATC | 1871655514 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.