Individual
ANNIE E CHRISTOFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
173 RICHARDS BUILDING, PROVO, UT 84602-2000
(801) 422-1628
Mailing address
11306 N BROOKLINE DR, HIGHLAND, UT 84003-4810
(661) 904-4676
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
13982690-4810
UT
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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