BRIAN A ZETTLER (NPI# 1255307161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255307161 |
| Entity Type | Individual |
| Full Name | BRIAN A ZETTLER |
| Credential | MS, ATC, CSCS, PES |
| Practice Address |
301 W South Temple Salt Lake City UT 84101-1216 |
| Mailing Address |
7701 S 4950 W West Jordan UT 84084-5516 |
| Practice Telephone | 8013252528 |
| Practice Fax Number | 8013252529 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT2017 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
301 W SOUTH TEMPLE |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84101-1216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487627832 | Gary Eugene Briggs | Specialist/Technologist | 301 W South Temple, Salt Lake City, UT 84101-1216 | 2006-02-08 |
| 1437602109 | Nicholas Asay | Specialist/Technologist | 301 W South Temple, Salt Lake City, UT 84101-1216 | 2016-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053804237 | Holly Smith | Registered Nurse | 1020 S Main Street, Salt Lake City, UT 84101 | 2018-06-12 |
| 1174999627 | Justin Williams | Social Worker | 155 W. 300 S., Salt Lake City, UT 84101 | 2015-08-19 |
| 1902291842 | Daryl Ray Ezidore | Student in an Organized Health Care Education/Training Program | 100 South 344 East, Salt Lake City, UT 84101 | 2015-03-30 |
| 1104190859 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 50 S Main St Ste 115, Salt Lake City, UT 84101 | 2012-02-28 |
| 1366713307 | Gonstead Family Chiropractic | Chiropractor | 1154 S. 300 W., Suite C, Salt Lake City, UT 84101 | 2012-01-23 |
| 1659544880 | Jeffrey Daniel | Registered Nurse | 404 South 400 West, Salt Lake City, UT 84101 | 2008-04-09 |
| 1306030580 | Christopher Dean Chapman | Chiropractor | 345 W 100 S Ste 6c, Salt Lake City, UT 84101 | 2007-08-30 |
| 1689713497 | Walter Landon Bye | Dentist | 15 West South Temple, Gateway Tower West Suite 440, Salt Lake City, UT 84101 | 2007-02-06 |
| 1154403152 | Allison Miller Gardner | Physical Therapist | 84 West 700 South, Salt Lake City, UT 84101 | 2006-10-19 |
| 1780655407 | Frederick Van Der Veur | Social Worker | 1020 South Main Street, 242, Salt Lake City, UT 84101 | 2006-01-30 |
| Find all providers in zip 84101 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780202978 | Katie Marie Plyer | Specialist/Technologist | 1860 E 250 S, Salt Lake City, UT 84112-4531 | 2020-07-14 |
| 1932727724 | Jose Luis Sandoval De Leon | Specialist/Technologist | 260 S 1850 E Rm 208, Salt Lake City, UT 84112-0910 | 2020-07-08 |
| 1629695929 | John Randall Woodworth | Specialist/Technologist | 383 S Colorow Dr Rm 392, Salt Lake City, UT 84108-1245 | 2020-07-02 |
| 1114548310 | Sarah Elizabeth Christensen | Specialist/Technologist | 1215 N 2200 W, Salt Lake City, UT 84116-4128 | 2020-04-29 |
| 1174167035 | Nicole Schonrock | Specialist/Technologist | 3584 E Kings Hill Cir, Salt Lake City, UT 84121-6009 | 2019-11-04 |
| 1174186977 | Carly Reilly | Specialist/Technologist | 843 S Lincoln St, Salt Lake City, UT 84102-3612 | 2019-04-17 |
| 1083177505 | Vitor Gabriel Giuliani Alcantara Carioca | Specialist/Technologist | 1850 South Campus Drive, Salt Lake City, UT 84115 | 2019-04-11 |
| 1407313224 | Elenore Reid | Specialist/Technologist | 48 S 1300 E, Salt Lake City, UT 84102-1730 | 2019-02-28 |
| 1205306248 | Eric Raustein | Specialist/Technologist | 650 S 1100 E, Salt Lake City, UT 84102-3902 | 2018-12-03 |
| 1245723931 | Clinton James Bowser | Specialist/Technologist | 255 N 400 W Apt 5, Salt Lake City, UT 84103-1233 | 2018-06-07 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84101 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.