Individual
MISS WHITNEY LEE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
201 PRESIDENTS CIR, SALT LAKE CITY, UT 84112-9049
(704) 352-3332
Mailing address
201 PRESIDENTS CIR, SALT LAKE CITY, UT 84112-9049
(704) 352-3332
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
12/22/2020
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