Individual
TYLER STEFFEN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2801 UNIVERSITY CIR, OGDEN, UT 84408-0001
(801) 626-6228
Mailing address
1446 36TH ST, OGDEN, UT 84403-2110
(435) 720-2849
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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