Individual
THERESA KINDSVOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT STUDENT
Contact information
Practice address
1435 VILLAGE DR DEPT 2805, OGDEN, UT 84408-5150
(801) 626-7656
Mailing address
1435 VILLAGE DR DEPT 2805, OGDEN, UT 84408-5150
(801) 626-7656
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
UT
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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