Individual
MEGAN ELYSE DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, L-ATC
Contact information
Practice address
900 ROUND VALLEY DR, SUITE 100, PARK CITY, UT 84060-7552
(435) 655-6619
(435) 655-2388
Mailing address
900 ROUND VALLEY DR, SUITE 100, PARK CITY, UT 84060-7552
(435) 655-6619
(435) 655-2388
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
9426289-4810
UT
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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