Individual
ADAM RAIKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
7000 OLD MAIN HL, LOGAN, UT 84322-7000
(520) 271-9538
(520) 271-9538
Mailing address
7000 OLD MAIN HL, LOGAN, UT 84322-7000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
7415969-4810
UT
Other
Enumeration date
11/07/2009
Last updated
05/04/2015
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