Individual
LEIGH ANN OTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2430 N HILL FIELD RD, LAYTON, UT 84041-4717
(801) 645-7965
Mailing address
4254 W 4850 S, ROY, UT 84067-8780
(801) 645-7965
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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