Individual
TYSON PACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
165 N UNIVERSITY AVE, FARMINGTON, UT 84025-2990
(801) 213-3200
Mailing address
9256 S STATE ST, SANDY, UT 84070-2604
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
5731832-4810
UT
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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