Individual
ALYSSA KEKAUOHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
800 W UNIVERSITY PKWY # MS 282, OREM, UT 84058-6703
(801) 863-6762
Mailing address
800 W UNIVERSITY PKWY # MS 282, OREM, UT 84058-6703
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
10079019-4810
UT
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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