Individual
MS. PATTY JEAN FAHRINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1125 N UNIVERSITY AVE, PROVO, UT 84604-3409
(801) 373-6550
Mailing address
1125 N UNIVERSITY AVE, PROVO, UT 84604-3409
(801) 373-6550
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
7409040-4810
UT
Other
Enumeration date
06/25/2006
Last updated
04/09/2016
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