IndividualActive
Brandon Hentkowski, ATC
NPI 1588053151 · Athletic Trainer · Salt Lake City, UT
Provider details
- NPI number
- 1588053151
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2000010234 (MI)
Practice location
590 S Wakara Way
Salt Lake City, UT 84108-1200
Phone: (801) 587-7198
Mailing address
590 S Wakara Way
Salt Lake City, UT 84108-1200
Registry dates
- Enumerated
- 2015-01-20
- Last updated
- 2015-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.