Individual
CHRISTOPHER JAY HORTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 SFH, PROVO, UT 84602
(435) 709-1802
Mailing address
106 SFH, PROVO, UT 84602
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
UT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Enumeration date
10/31/2016
Last updated
04/19/2017
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