Individual
KRISTA SHIMIZU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
175 S 400 E, OREM, UT 84097-5569
(801) 709-1046
Mailing address
224 S 550 W APT B9, SPRINGVILLE, UT 84663-5680
(417) 833-7542
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
13414536-4810
UT
Other
Enumeration date
06/19/2024
Last updated
07/09/2024
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