Individual
IAN MCELHENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC, OTC
Contact information
Practice address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 587-7109
Mailing address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 587-7109
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
7431377-4810
UT
363A00000X
Physician Assistant
Primary
7431377-1206
UT
Other
Enumeration date
12/18/2017
Last updated
03/31/2026
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