Individual
CHAZ BECKSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1577 W 7000 S, WEST JORDAN, UT 84084-7492
(801) 566-6301
Mailing address
1577 W 7000 S, WEST JORDAN, UT 84084-7492
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
8718590-4810
UT
Other
Enumeration date
04/05/2015
Last updated
04/05/2015
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