Individual
AMBER NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
203 RB, PROVO, UT 84602-2118
(801) 422-1958
Mailing address
203 RB, PROVO, UT 84602-2118
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
11878700-4810
UT
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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