Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EVAN MICHAEL PUCILLO, PT, DPT
Active Sole ProprietorDR. EVAN MICHAEL PUCILLO, PT, DPT is a Neurology (Occupational Therapy) healthcare provider located in SALT LAKE CITY, Utah. NPI 1578961041 is currently active in the NPPES registry. Verify at CMS.
Neurology (Occupational Therapy) · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1578961041
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 15, 2014 (11.686500077172 yrs)
- Last Updated
- Sep 22, 2015
- License
-
9083705-2401 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
50 N MEDICAL DR1R 5 SOMSALT LAKE CITY, UT, 841320001Browse UT providers · Browse ZIP 84132
- Phone
- 8015855323
- Primary Specialty
-
Neurology (Occupational Therapy)
2251N0400X
Other Neurology (Occupational Therapy) Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| DR. JONATHAN HERBERT KINZINGER | DPT | 1194873596 |
| DR. DIANE E. NICHOLSON | P.T., N.C.S. | 1114044187 |
| JASON T TERRY | D.P.T. | 1245351899 |
| STEPHANIE ANN OBRADOVICH | P.T. | 1255452306 |
| MRS. RONDA LYNN HOPKINS | P.T. | 1912194580 |
| KELLI COOPER | PT, DPT, NCS | 1932389269 |
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.