Individual provider · Type 1 NPI

Langston Petty

Student in an Organized Health Care Education/Training Program · Logan, UT

NPI number 1689534273 Active

Practice location

75 W 100 S Ste 270
Logan, UT 84321-5843

Call (801) 896-0793 Map

Mailing address

7570 W 9600 N
Tremonton, UT 84337-8629

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689534273

Langston Petty's National Provider Identifier is 1689534273, issued on Nov 14, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Logan, UT. The record was last updated on Nov 14, 2025.