Individual
DESTINY RENEE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3895 HARRISON BLVD, OGDEN, UT 84403-2312
(801) 387-7678
Mailing address
4250 S 1000 W APT 52, RIVERDALE, UT 84405-3333
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
13993992-4810
UT
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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