Individual
AMBER HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
626 W 3650 S, RIVERDALE, UT 84405-1728
(801) 710-5883
Mailing address
626 W 3650 S, RIVERDALE, UT 84405-1728
(801) 710-5883
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
9428523-4810
UT
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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