Individual
TYSON B ROCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
455 S 500 E, SALT LAKE CITY, UT 84102-2753
(801) 328-6033
(435) 328-6027
Mailing address
370 CULROSS CIR, STANSBURY PARK, UT 84074-8166
(435) 840-2767
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
7338418-1701
UT
Other
Enumeration date
10/05/2019
Last updated
10/05/2019
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