Individual
ADAM MATHIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3401 N CENTER ST STE 100, LEHI, UT 84043-7498
(801) 753-7770
(801) 753-7775
Mailing address
1123 UNIVERSITY VLG, SALT LAKE CITY, UT 84108-3501
(385) 439-4605
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
10962966-4810
UT
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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