LYLE BLACK, MPT

Specialist

Active Individual
NPI: 1619144920

Practice Address

248 W 300 N
Logan, UT 84321

Phone: (435) 754-0277

Specialties

Specialty Code Primary License
Specialist 174400000X Yes 5271519-2401 (UT)

Frequently Asked Questions

NPI 1619144920 is the National Provider Identifier for LYLE BLACK, MPT, a Specialist provider located in Logan, UT. This NPI was enumerated on May 15, 2008.
LYLE BLACK, MPT practices at 248 W 300 N, Logan, UT 84321.

Quick Facts

NPI
1619144920
Type
Individual
Enumerated
May 15, 2008
Last Updated
Sep 11, 2008

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