Individual
MRS. TIFFANY ANN CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
590 WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 587-7025
Mailing address
1659 E 12500 S, DRAPER, UT 84020-9161
(208) 389-8022
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
8030285-4810
UT
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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