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DR. EVAN MICHAEL PUCILLO PT DPT NPI 1578961041


NPI Information

NPI: 1578961041
Provider Name: DR. EVAN MICHAEL PUCILLO, PT, DPT
Classification: Physical Therapist - 2251N0400X
Entity Type: Individual

Specialization: Neurology

Address:
50 N MEDICAL DR
1R 5 SOM
SALT LAKE CITY, UT
ZIP 84132
Phone: (801) 585-5323
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DR. Evan Michael Pucillo, PT, DPT is a neurology physical therapist in Salt Lake City, UT. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology. DR. Evan Michael Pucillo, PT, DPT NPI is 1578961041. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

50 N MEDICAL DR
1R 5 SOM
SALT LAKE CITY, UT
ZIP 84132-001
Phone: (801) 585-5323

The enumeration date for this NPI number is 12/15/2014 and was last updated on 9/22/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251N0400XPhysical TherapistNeurology9083705-2401UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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