Individual
MR. MASON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1928 E HICKORY POINT CIR, SANDY, UT 84092-3942
(715) 252-1661
Mailing address
1928 E HICKORY POINT CIR, SANDY, UT 84092-3942
(715) 252-1661
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
8774114-4810
UT
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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