Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIKE BLACK, DPT
Active Sole ProprietorMIKE BLACK, DPT is a Physical Therapy Assistant healthcare provider located in RIVERTON, Utah. NPI 1326436007 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · RIVERTON, UT
Registration Details
- NPI Number
- 1326436007
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 2, 2015 (11.58522418352 yrs)
- Last Updated
- Jan 2, 2015
- License
-
9255052-2401 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12391 S 4000 W#210RIVERTON, UT, 840967012Browse UT providers · Browse ZIP 84096
- Phone
- 8014460990
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in RIVERTON, UT
| Name | Credential | NPI |
|---|---|---|
| BRUCE APPLEGATE | — | 1104803220 |
| MRS. JEANNE LAJOM | P.T. | 1508059643 |
| JAMES W DRURY | PT | 1407038557 |
| DARREN K. NEELEY | DPT | 1548422975 |
| DR. KENNETH ALAN FREEMAN | DPT | 1851546782 |
| JERAMIAH FORTUNE | DPT | 1770729949 |
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.