Individual
MICHAEL R UTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
8940 W KATHLEEN RD, PEORIA, AZ 85382-3727
(623) 606-7963
Mailing address
8940 W KATHLEEN RD, PEORIA, AZ 85382-3727
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-10177341
OR
Other
Enumeration date
04/08/2017
Last updated
04/08/2017
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