Individual
KELSEY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
243 DANIEL DR, OREM, UT 84057-2602
(801) 404-2751
Mailing address
243 DANIEL DR, OREM, UT 84057-2602
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
14287906-4810
UT
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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