Individual
TYSON C SALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1145 E 4600 S STE 150534, OGDEN, UT 84403-3079
(406) 698-9923
Mailing address
1145 E 4600 S STE 150534, OGDEN, UT 84403-3079
(406) 698-9923
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
8695287-4810
UT
Other
Enumeration date
06/06/2013
Last updated
05/08/2019
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