Individual
DR. JOSHUA KEITH UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2150 PEBBLEBROOK RD, PLEASANT VIEW, UT 84404-2808
(802) 579-4444
Mailing address
2150 PEBBLEBROOK RD, PLEASANT VIEW, UT 84404-2808
(802) 579-4444
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
11890894-4810
UT
2255A2300X
Athletic Trainer
AT886
ME
Other
Enumeration date
04/04/2006
Last updated
06/15/2022
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