Individual
KRYSTALL GREENWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 SMITH FIELD HOUSE, BRIGHAM YOUNG UNIVERSITY, PROVO, UT 84604-8460
(801) 422-2946
Mailing address
410 N GENEVA RD, PROVO, UT 84601-1253
(512) 629-2065
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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