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Dr. Evan Michael Pucillo

Physical Therapist - Neurology

50 N Medical Dr 1r 5 Som
Salt Lake City , Utah 84132-0001

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Dr. Evan Michael Pucillo

Physical Therapist - Neurology

50 N Medical Dr 1r 5 Som
Salt Lake City , Utah 84132-0001

(801) 587-6336

Write a Review Save Call

Dr. Evan Michael Pucillo

Physical Therapist - Neurology

50 N Medical Dr 1r 5 Som
Salt Lake City , Utah 84132-0001

(801) 587-6336 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Physical Therapist - Neurology

Languages spoken

  • English

Location

50 N Medical Dr 1r 5 Som Salt Lake City , Utah 84132-0001

First Address

  • Dr. Evan Michael Pucillo
  • 127 S 500 E Suite 600
  • Salt Lake City, UT
  • Zip : 84102-1959
  • Phone : (801) 587-6336

Second Address

  • Dr. Evan Michael Pucillo
  • 50 N Medical Dr 1r 5 Som
  • Salt Lake City, UT
  • Zip : 84132-0001
  • Phone : (801) 585-5323

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FAQs


Where did Dr. Evan Michael Pucillo attend graduate school?

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Where did Dr. Evan Michael Pucillo do his residency?

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Where did Dr. Evan Michael Pucillo do his fellowship?

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Is Dr. Evan Michael Pucillo board certified?

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What type of doctor is Dr. Evan Michael Pucillo

Physical Therapist - Neurology

In what state does Dr. Evan Michael Pucillo practice in?

Utah

Where is Dr. Evan Michael Pucillo ’s practice located?

50 N Medical Dr 1r 5 Som , Salt Lake City, Utah, 84132-0001

What is Dr. Evan Michael Pucillo ’s gender?

Male

Is Dr. Evan Michael Pucillo a sole practitioner?

No

Is Dr. Evan Michael Pucillo accepting new patients?

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What languages does Dr. Evan Michael Pucillo speak?

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Does Dr. Evan Michael Pucillo accept insurance?

Yes, Dr. Evan Michael Pucillo accepts insurance

Does Dr. Evan Michael Pucillo offers telemedicine?

Dr. Evan Michael Pucillo has not indicated if he offers telemedicine

What is Dr. Evan Michael Pucillo ’s professional license number?

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What is Dr. Evan Michael Pucillo ’s NPI number?

1578961041

Does Dr. Evan Michael Pucillo have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2251N0400X Physical Therapist - Neurology 9083705-2401 UT

National Provider Identifier

NPI 1578961041
Provider Name Dr. Evan Michael Pucillo
First Address Salt Lake City, UT 84102-1959
Second Address Salt Lake City, UT 84132-0001
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 15/12/2014
Last Update Date 22/09/2015

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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