Individual
ANDREW STRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
776 N TERMINAL DR, SALT LAKE CITY, UT 84122-7003
(801) 995-0366
Mailing address
9508 S TARBERT CIR, SOUTH JORDAN, UT 84009-9733
(801) 995-0366
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
9106894-4810
UT
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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