Individual
MICHAEL B ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
1820 SIDEWINDER DR, PARK CITY, UT 84060-7492
(435) 655-6600
Mailing address
3898 DAVENCOURT LOOP, LEHI, UT 84043-4588
(801) 372-9288
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/03/2006
Last updated
07/08/2007
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