Individual
MRS. KRISTIN MICHELLE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC-L
Contact information
Practice address
1300 N 500 E, #130, LOGAN, UT 84341-2408
(435) 716-2882
(435) 716-2809
Mailing address
262 W 1000 N, LOGAN, UT 84321-2211
(435) 753-3585
(435) 716-2809
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
6344844-4810
UT
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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