Brogan R Secrist
Brogan R Secrist is an Athletic Trainer in Ivins, Utah. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
738 S Red Mountain BlvdIvins, UT 84738-1226
Phone: (435) 705-1644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1255083309 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 20, 2022 |
| Last updated in NPPES | January 20, 2022 |
| Certification date | January 20, 2022 |
| Mailing address | 738 S Red Mountain Blvd, Ivins, UT 84738-1226 |