Provider Demographics
NPI:1740645910
Name:ROONEY, BRITTAN ASHLEY (PT, DPT, OCS)
Entity type:Individual
Prefix:
First Name:BRITTAN
Middle Name:ASHLEY
Last Name:ROONEY
Suffix:
Gender:F
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14715 S 855 W
Mailing Address - Street 2:
Mailing Address - City:BLUFFDALE
Mailing Address - State:UT
Mailing Address - Zip Code:84065-5078
Mailing Address - Country:US
Mailing Address - Phone:309-712-9277
Mailing Address - Fax:708-298-6950
Practice Address - Street 1:14715 S 855 W
Practice Address - Street 2:
Practice Address - City:BLUFFDALE
Practice Address - State:UT
Practice Address - Zip Code:84065-5078
Practice Address - Country:US
Practice Address - Phone:309-712-9277
Practice Address - Fax:708-298-6950
Is Sole Proprietor?:No
Enumeration Date:2015-12-15
Last Update Date:2023-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.021941225100000X
UT13009505-24012251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist