Individual
DANIEL A DELAPORTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1157 N 300 W, PROVO, UT 84604-6124
(801) 357-1200
Mailing address
9891 S HILLS LN APT 121, SANDY, UT 84070-4408
(573) 629-5818
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
12875561-4810
UT
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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