Individual
TERI J RIDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1405 S 1420 E, PROVO, UT 84606-6475
(801) 918-3359
Mailing address
1405 S 1420 E, PROVO, UT 84606-6475
(801) 918-3359
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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