Provider Demographics
NPI:1932328838
Name:CALL, ADRIAN PARKER (MPT, DPT)
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:PARKER
Last Name:CALL
Suffix:
Gender:M
Credentials:MPT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4607 MIDLAND DR # 201
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:UT
Mailing Address - Zip Code:84401-9507
Mailing Address - Country:US
Mailing Address - Phone:801-732-8700
Mailing Address - Fax:
Practice Address - Street 1:4607 MIDLAND DR # 201
Practice Address - Street 2:
Practice Address - City:WEST HAVEN
Practice Address - State:UT
Practice Address - Zip Code:84401-9507
Practice Address - Country:US
Practice Address - Phone:801-732-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5294497-2401225100000X
MSPT3598225100000X
WAPT00009590225100000X
IDPT2050225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIQ21588Medicare UPIN