Individual
CHASE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1095 16TH ST, 2, OGDEN, UT 84404-5990
(801) 550-8424
Mailing address
1095 16TH ST, 2, OGDEN, UT 84404-5990
(801) 550-8424
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/02/2015
Last updated
05/10/2017
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