Individual
KAYLA OZAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
592 GUARDSMAN WAY, SALT LAKE CITY, UT 84108
(801) 583-9713
Mailing address
1740 W GERTIE AVE APT 564, SALT LAKE CITY, UT 84116-4783
(808) 223-0727
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/22/2020
Last updated
06/06/2022
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