Individual
CHRISTINE PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
331 STUDENT ATHLETE BUILDING, PROVO, UT 84602
(801) 422-2096
Mailing address
72 W 880 N APT 6, PROVO, UT 84604-3486
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
11127489-4810
UT
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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