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Lyle H Black, MPT
Specialist in Logan, Utah
NPI 1619144920

Lyle H Black is a Specialist based in Logan, UT. Lyle H Black practices in Logan, UT and has the professional credentials of MPT. The NPI Number for Lyle H Black is 1619144920 and holds a License No. 5271519-2401 (Utah).

The current practice location address for Lyle H Black is 248 W 300 N, Logan, UT and can be reached out via phone at 435-754-0277 and via fax at 435-752-1318. You can also correspond with Lyle H Black through the mailing address at 248 W 300 N, LOGAN, UT - 84321-3810 (mailing address contact number: 435-754-0277).

Location: 248 W 300 N, Logan, UT, 84321-3810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619144920
Provider Name
Lyle H Black
Credential
MPT
Provider Entity Type
Individual
Gender
Male
Address
248 W 300 N, Logan, UT, 84321-3810
Phone Number
435-754-0277
Fax Number
435-752-1318
Provider Enumeration Date
05/15/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
248 W 300 N
City
Logan
State
Utah
Zip
84321-3810
Phone Number
435-754-0277
Fax Number
435-752-1318
person
Provider Business Mailing Address Details
Address
248 W 300 N
City
Logan
State
Utah
Zip
84321-3810
Phone Number
435-754-0277
Fax Number
435-752-1318
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
5271519-2401 (Utah)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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