Individual
GARRISON AKIO-LEE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
7400 OLD MAIN HL, LOGAN, UT 84322-7400
(424) 200-0589
Mailing address
1555 5TH ST, MANHATTAN BEACH, CA 90266-6339
(310) 318-3241
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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