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Individual

ANDREW PAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CAT, LAT

Contact information

Practice address
14787 S ACADEMY PKWY, HERRIMAN, UT 84096-2077
(385) 434-3080
Mailing address
14654 S BLOOM DR UNIT 203, HERRIMAN, UT 84096-2254
(385) 321-8982

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
13995779-4810
UT

Other

Enumeration date
09/16/2022
Last updated
12/01/2025
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