IndividualActive
Benjamin Ross, MS, ATC
NPI 1043412562 · Athletic Trainer · Provo, UT
Provider details
- NPI number
- 1043412562
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 5471928-4810 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3570 N. Timpview Dr.
Provo, UT 84604
Phone: (801) 221-9720
Approximate (ZIP-level) locationGet directions
Mailing address
439 N 1040 E
Orem, UT 84097-8281
Registry dates
- Enumerated
- 2007-06-05
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.