Individual
VANESSA FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
3890 MEDICAL DR, OGDEN, UT 84403-2319
(801) 387-7678
(801) 387-8539
Mailing address
2157 W 3100 N, FARR WEST, UT 84404-9615
(801) 866-4698
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
7982590-4810
UT
Other
Enumeration date
11/24/2023
Last updated
11/24/2023
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