Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LYLE H BLACK, MPT
ActiveLYLE H BLACK, MPT is a Specialist healthcare provider located in LOGAN, Utah. NPI 1619144920 is currently active in the NPPES registry. Verify at CMS.
Specialist · LOGAN, UT
Registration Details
- NPI Number
- 1619144920
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2008 (18.105699281466 yrs)
- Last Updated
- Sep 11, 2008
- License
-
5271519-2401 (UT)
Practice Information
- Address
-
248 W 300 NLOGAN, UT, 843213810Browse UT providers · Browse ZIP 84321
- Phone
- 4357540277
- Fax
- 4357521318
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in LOGAN, UT
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL K. HINDS | LMFT | 1376538033 |
| DR. CASEY N ISOM | M.D. | 1215964275 |
| JOHN SCOTT RAYMOND | MD | 1457371700 |
| REBECCA PHILLIPS | MD | 1871696898 |
| MS. AUDREY SAUNDERS | COTA | 1710137476 |
| DAWN ALYSE MURRAY | M.P.T. | 1053561720 |
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.