Individual
TERESA INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.;ATC;LAT
Contact information
Practice address
1450 S MAIN ST, GARLAND, UT 84312-9797
(435) 257-2500
(435) 257-3899
Mailing address
879 W 2880 S, LOGAN, UT 84321-6480
(435) 750-0349
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
6315811-4810
UT
Other
Enumeration date
03/30/2008
Last updated
03/30/2008
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