Individual
MORGAN BREEANNA BENGTZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT, MAL
Contact information
Practice address
701 E BOISE AVE, BOISE, ID 83706-5119
(801) 702-7713
Mailing address
2624 W LUSTERPOINTE LN, WEST JORDAN, UT 84088-5281
(801) 702-7713
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
01/08/2024
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