Individual
MR. TOM T. IRIYE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
A.T.,C.
Contact information
Practice address
1825 E SOUTH CAMPUS DR, SALT LAKE CITY, UT 84112-0900
(801) 585-7044
(801) 581-8290
Mailing address
10744 S 1120 E, SANDY, UT 84094-5091
(801) 585-7044
(801) 581-8290
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/28/2006
Last updated
07/08/2007
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