Individual
MR. JEFFREY SCOTT HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC-L, LRPT
Contact information
Practice address
123 G SAB, PROVO, UT 84602
(801) 422-2952
(801) 422-0917
Mailing address
1527 N 180 W, LEHI, UT 84043-1159
(801) 422-2952
(801) 422-0917
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
6332178-4810
UT
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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