Individual
AARON D LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
800 W UNIVERSITY PKWY, OREM, UT 84058-6703
(801) 863-6793
Mailing address
800 W UNIVERSITY PKWY, OREM, UT 84058-6703
(801) 863-6793
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070502055
BOC
UT
Enumeration date
09/15/2017
Last updated
09/15/2017
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