Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRIAN LYDELL COLES, ATC
Active Sole ProprietorAthletic Trainer · OAK CITY, UT
Registration Details
- NPI Number
- 1790752590
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 1, 2006 (20.190916809049 yrs)
- Last Updated
- Apr 27, 2016
- License
-
2306941-4810 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
850 BRUSHWELLMAN RDOAK CITY, UT, 84624Browse UT providers · Browse ZIP 84624
- Phone
- 4358646511
- Fax
- 4358640901
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.