Individual
SAMMANTHA TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3848 HARRISON BLVD, OGDEN, UT 84408-0001
(801) 626-6000
Mailing address
59 E 5600 S, OGDEN, UT 84405-6935
(801) 528-2575
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
UT
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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