Individual
DEVIN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
123 SAB, PROVO, UT 84602-1547
(801) 927-8488
Mailing address
274 N 500 E APT 6, PROVO, UT 84606-3043
(801) 927-8488
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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