Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Phillip James Adrian Hartog, ATC

Individual provider Athletic Trainer · NPI 1124542451

Mr. Phillip James Adrian Hartog, ATC is an Athletic Trainer in Provo, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2017
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1143 Smith Fieldhouse
Provo, UT 84602
Phone: (801) 422-4828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 9903810-4810 (UT)

Record details

NPI number1124542451
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedJuly 28, 2017
Last updated in NPPESJuly 21, 2022

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