Individual
SARAH RICHELE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10236 ALDER GROVEY WAY, SOUTH JORDAN, UT 84095
(385) 224-4032
Mailing address
10236 S ALDER GROVE WAY, SOUTH JORDAN, UT 84009-7136
(385) 224-4032
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
10218918-4810
UT
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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