Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRODIE JAMES PACK, MPT
ActiveBRODIE JAMES PACK, MPT is a Physical Therapy Assistant healthcare provider located in SOUTH JORDAN, Utah. NPI 1871578203 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SOUTH JORDAN, UT
Registration Details
- NPI Number
- 1871578203
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 8, 2005 (20.645689991626 yrs)
- Last Updated
- Feb 7, 2023
- Licenses
-
2774652-2401 (UT)2774652-2401 (UT)PT28869 (CA)2774652-2401 (UT)
Practice Information
- Address
-
11531 S DISTRICT DR STE 1200SOUTH JORDAN, UT, 840955782Browse UT providers · Browse ZIP 84095
- Phone
- 8012603100
- Fax
- 8012603101
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Environmental Modification (OT)
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Ergonomics (Occupational Therapy)
Other Physical Therapy Assistant Providers in SOUTH JORDAN, UT
| Name | Credential | NPI |
|---|---|---|
| MR. JOHN MICHAEL ORR | DPT, OSC, CSCS | 1518942291 |
| DREW NORWOOD | — | 1851378830 |
| TODD HAROLD SCHMIDT | PT | 1003907502 |
| KAREN C. SATO | DPT, MBA | 1669562260 |
| PAMELA BALLA-DIBBLEE | PT | 1700934098 |
| GERARD P BRENNAN | PT | 1649328998 |
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.