Individual
MS. KATIE BETH HABECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
680 E MAIN ST, STE 101, LEHI, UT 84043-2241
(801) 768-2723
Mailing address
3139 S 2900 E, SALT LAKE CITY, UT 84109-2828
(435) 512-0824
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
6334499-4810
UT
Other
Enumeration date
01/13/2007
Last updated
07/08/2007
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