Individual
KELSEY GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
1224 S 1410 E, PROVO, UT 84606-6545
(509) 750-8514
Mailing address
1224 S 1410 E, PROVO, UT 84606-6545
(509) 750-8514
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
87462944810
UT
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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