Individual
KELLY MAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 E 250 S, HPER WEST, ROOM 113, SLC, UT 84112
(801) 585-1820
Mailing address
1850 E 250 S, HPER WEST, ROOM 113, SLC, UT 84112
(801) 585-1820
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
14225623-4810
UT
Other
Enumeration date
09/14/2022
Last updated
12/04/2025
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