Individual
JESSIE TAYLOR ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC
Contact information
Practice address
351 W UNIVERSITY BLVD, CEDAR CITY, UT 84720-2415
(435) 865-8355
Mailing address
364 N 1000 W APT 2, CEDAR CITY, UT 84721-4199
(801) 577-3357
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0759
SD
2255A2300X
Athletic Trainer
Primary
13093584-4810
UT
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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