Provider Demographics
NPI:1245990944
Name:HOOVER, BRITTANY DOVE (PT)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:DOVE
Last Name:HOOVER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:DOVE
Other - Last Name:BLACKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3075 E KENNEDY DR APT 218
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84108-2141
Mailing Address - Country:US
Mailing Address - Phone:801-520-3425
Mailing Address - Fax:
Practice Address - Street 1:7613 S JORDAN LANDING BLVD STE 120
Practice Address - Street 2:
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84084-1973
Practice Address - Country:US
Practice Address - Phone:801-280-2548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-21
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist