Brodie James Pack in South Jordan - Orthopedic
Brodie James Pack - NPI 1871578203
Brodie James Pack is a Orthopedic in South Jordan, Utah. Brodie James Pack practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Brodie James Pack is 1871578203. The last update date is 2023-02-07.
Brodie James Pack's current location address is 11531 S District Dr Ste 1200, South Jordan, Utah. You can contact this provider via phone number 8012603100 and fax number 8012603101. The mailing address for Brodie James Pack is 11531 S District Dr Ste 1200, South Jordan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brodie James Pack |
|---|---|
| Address | 11531 S District Dr Ste 1200, South Jordan, Utah |
| Phone Number | 8012603100 |
| Fax Number | 8012603101 |
| Sole Proprietor | N |
| Credentials | MPT |
NPI Number Detail
| NPI Number | 1871578203 |
|---|---|
| Provider Enumeration Date | 2005-12-08 |
| Last Updated Date | 2023-02-07 |
Provider Mailing Address Detail
| Address | 11531 S District Dr Ste 1200 |
|---|---|
| City | South Jordan |
| State | Utah (UT) |
| Post Code | 840955782 |
| Phone Number | 8012603100 |
| Fax Number | 8012603101 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | 2774652-2401 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2774652-2401 | UT | UTAH DEPARTMENT OF COMMERCE DI |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Brodie James Pack by the Centers for Medicare & Medicaid Services?
The Brodie James Pack has been assigned the NPI (National Provider Identifier) 1871578203 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Brodie James Pack's physical address?
The Brodie James Pack is physically located at 11531 S District Dr Ste 1200, in the city of South Jordan, UT, with the postal code 840955782.
What is Brodie James Pack's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brodie James Pack is Orthopedic, and the taxonomy code that classifies this field of practice is 2251X0800X.
When did Brodie James Pack receive its 1871578203 assignment?
The Brodie James Pack was assigned its 1871578203 on 2005-12-08, which is the date when this unique identifier was issued to the organization.
When was the Brodie James Pack's information last updated?
The Brodie James Pack's information was last updated on 2023-02-07.