Individual
DALLAS SHIPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 PRESIDENTS CIR, SALT LAKE CITY, UT 84112-9049
(605) 471-0089
Mailing address
5059 W DUCKHORN DR, SOUTH JORDAN, UT 84009-8144
(605) 471-0089
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
9329717-4810
UT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/25/2020
Last updated
07/21/2021
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