Individual
KALEB ASHWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
512 W 550 N, SPANISH FORK, UT 84660-1449
(801) 376-5327
Mailing address
512 W 550 N, SPANISH FORK, UT 84660-1449
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
130
WY
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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