Provider Demographics
NPI:1962448837
Name:HOYT, BRYAN COLLLINS (DPT)
Entity Type:Individual
Prefix:MR
First Name:BRYAN
Middle Name:COLLLINS
Last Name:HOYT
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3131 W LONE CACTUS DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-2257
Mailing Address - Country:US
Mailing Address - Phone:480-776-7916
Mailing Address - Fax:
Practice Address - Street 1:21410 N 19TH AVE
Practice Address - Street 2:SUITE #151
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-2738
Practice Address - Country:US
Practice Address - Phone:623-594-9034
Practice Address - Fax:623-594-9868
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ6844174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ6844OtherPT LICENSE