Individual
JANICE MICHELE BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC - L.
Contact information
Practice address
180 N 500 E, LEHI, UT 84043-1950
(801) 610-8805
Mailing address
180 N 500 E, LEHI, UT 84043-1950
(801) 610-8805
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
7142302-4810
UT
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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