Brian Ralph Balls, PTA

NPI #1326420639 in Logan, Utah

Provider Information

NPI Number: 1326420639
Entity Type: Individual
Name: Brian Ralph Balls, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 23, 2015
Last Updated: Jun 23, 2015

Practice Location

Address: 1350 N 500 E
Address 2: SUITE 120
City: Logan
State: Utah
ZIP Code: 84341-2400
Phone: (435) 716-2880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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