Individual
DANIELLE DEARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
1435 VILLAGE DR DEPT 2805, OGDEN, UT 84408-2805
(801) 626-7656
Mailing address
129 N COMMERCIAL ST, MORGAN, UT 84050-9570
(801) 845-1403
(801) 845-1404
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
10384137-4810
UT
2255A2300X
Athletic Trainer
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Other
Enumeration date
12/10/2015
Last updated
06/07/2017
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