Individual
SARAH STOLWORTHY FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
150 E 1230 N, PROVO, UT 84604-2676
(801) 422-2946
Mailing address
1688 S 800 E, OREM, UT 84097-8033
(502) 424-6290
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
12900248-4810
UT
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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