Individual
MR. SETH S WAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
295 S CHIPETA WAY STE 22, SALT LAKE CITY, UT 84108-1234
(801) 581-7766
(801) 581-5807
Mailing address
295 S CHIPETA WAY STE 22, SALT LAKE CITY, UT 84108-1234
(801) 581-7766
(801) 581-5807
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
14225062-4810
UT
2255A2300X
Athletic Trainer
Primary
AT006990
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/03/2018
Last updated
04/09/2026
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