Individual
JARED MURRAY OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
2300 UNIVERSITY BLVD, REXBURG, ID 83440-4710
(385) 288-8802
Mailing address
475 W 3925 N, PLEASANT VIEW, UT 84414-1462
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000042262
NATIONAL ATHLETIC TRAINER ASSOCIATION - BOARD OF CERTIFICATION
—
Enumeration date
06/17/2021
Last updated
08/26/2021
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