Individual
KIRSTEN ASTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L-ATC
Contact information
Practice address
1840 S 1300 E, SALT LAKE CITY, UT 84105-3697
(801) 832-2341
Mailing address
1840 S 1300 E, SALT LAKE CITY, UT 84105-3697
(801) 832-2341
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
7733051-4810
UT
Other
Enumeration date
11/03/2018
Last updated
11/03/2018
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