Individual
DAMARA ROSE FARKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC, OTC
Contact information
Practice address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 587-1886
(801) 587-7111
Mailing address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 587-1886
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
9033410-4810
UT
Other
Enumeration date
01/09/2019
Last updated
10/01/2020
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