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Lyle Black, MPT
NPI 1619144920 · on the registry since 2008
Practice
- Address
- 248 W 300 N
Logan, UT 84321 - Phone
- (435) 754-0277
- Fax
- (435) 752-1318
- Organisation at this address
- Milford Memorial Hospital
Sunshine Terrace Foundation, Inc
Sunshine Terrace Foundation, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah