Individual
ELIZABETH BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11075 S STATE ST STE 33, SANDY, UT 84070-5183
(801) 990-4300
(801) 967-2127
Mailing address
PO BOX 330, MAGNA, UT 84044-0330
(801) 990-4300
(801) 967-2127
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT5970
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Enumeration date
01/06/2016
Last updated
01/18/2023
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