Individual
JESSICA GLAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
687 W IVY DR, MIDVALE, UT 84047-7282
(801) 718-0820
Mailing address
687 W IVY DR, MIDVALE, UT 84047-7282
(801) 718-0820
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
10720258-4810
UT
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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