Individual
JOSIE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1055 N 300 W STE 410, PROVO, UT 84604-3354
(801) 616-3675
Mailing address
1055 N 300 W STE 410, PROVO, UT 84604-3354
(801) 616-3675
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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