Individual
DANIELLE CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
659 N 700 E, APT 14, PROVO, UT 84606-6921
(208) 631-7498
Mailing address
659 N 700 E, APT 14, PROVO, UT 84606-6921
(208) 631-7498
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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