Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TODD KARL HAACKE, DPT
Active Sole ProprietorPhysical Therapy Assistant · PROVO, UT
Registration Details
- NPI Number
- 1154023513
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2023 (3.1329448725425 yrs)
- Last Updated
- Jun 7, 2023
- License
-
11412274-2401 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1055 N 500 WPROVO, UT, 846043305Browse UT providers · Browse ZIP 84604
- Phone
- 8014290610
- Fax
- 8014290629
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| DR. ROGAN L TAYLOR | DPT | 1356333611 |
| NED B BUSHNELL | PT | 1528050861 |
| DAVID BLAINE ARCHIBALD | PT | 1821083361 |
| MR. PAUL W SAGERS | PT | 1457378259 |
| JAMES C NACKOS | MPT | 1568483238 |
| BRADEN J TAYLOR | MPT | 1598788036 |
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.