SHEA DAVIN BRENDEL

LOGAN, UT
NPI1447862891
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT  11837369-4810)
Enumeration Date2020-08-18
Last Update Date2020-08-18
Business Address
Mr. SHEA DAVIN BRENDEL LAT, ATC
7400 OLD MAIN HL
LOGAN, UT 84322-7400
Phone number: 435-797-1850
Mailing Address
Mr. SHEA DAVIN BRENDEL LAT, ATC
805 N 50 W
LOGAN, UT 84321-3360
Phone number: