Individual
KRISTIN FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 S 500 W, SALT LAKE CITY, UT 84115-5149
(352) 316-2160
Mailing address
1420 S 500 W, SALT LAKE CITY, UT 84115-5149
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
12468743
UT
225700000X
Massage Therapist
12468743-4701
UT
Other
Enumeration date
05/01/2023
Last updated
05/23/2023
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