Individual
MICHAEL ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1420 S 500 W, SALT LAKE CITY, UT 84115-5149
(602) 999-7738
Mailing address
1531 E KENSINGTON AVE, SALT LAKE CITY, UT 84105-2803
(602) 999-7738
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
070202240
AZ
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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