Individual
KELLI VARGAS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
900 ROUND VALLEY DR STE 100, PARK CITY, UT 84060-7552
(435) 655-6562
(435) 655-2388
Mailing address
900 ROUND VALLEY DR STE 100, PARK CITY, UT 84060-7552
(435) 655-6562
(435) 655-2388
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
7879808-4810
UT
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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