Individual
JUAN TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1420 S 500 W, SALT LAKE CITY, UT 84115-5149
(805) 478-2911
Mailing address
1078 S 1400 W, SALT LAKE CITY, UT 84104-3233
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
10552923-4810
UT
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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