Individual
KAITLYN WINGET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 W. UNIVERSITY PKWY, DEPT OF ATHLETICS- MS 104, OREM, UT 84058
(801) 863-8813
Mailing address
528 N 720 E APT 117, PROVO, UT 84606-6975
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000027491
UT
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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