Individual
AMBERLY PERRINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1120 SMITH FIELDHOUSE, PROVO, UT 84602-2246
(801) 422-2946
Mailing address
1120 SMITH FIELDHOUSE, PROVO, UT 84602-2246
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
12314584-4810
UT
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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