Individual
MR. KAZUTO SAKITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CSCS
Contact information
Practice address
225 S 700 E, ST GEORGE, UT 84770-3875
(801) 376-5206
Mailing address
55 E 700 S APT 20, ST GEORGE, UT 84770-3911
(801) 376-5206
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
6667975-4810
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050702093
NATIONAL ATHLETIC TRAINERS' ASSOCIATION BOARD OF CERTIFICATION
—
Enumeration date
11/30/2011
Last updated
11/30/2011
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