Individual
ALLISON HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1157 N 300 W STE 201, PROVO, UT 84604-6124
(801) 357-1200
(801) 357-1233
Mailing address
478 LUPINE DR, ALPINE, UT 84004-1379
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
10932005-4810
UT
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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