Individual
KATHRYN DELOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, ATC
Contact information
Practice address
7425 OLD MAIN HL, LOGAN, UT 84322-7425
(435) 797-3636
Mailing address
1651 N 400 E APT 639, LOGAN, UT 84341-5664
(703) 989-4142
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
9468273-4810
UT
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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