Individual
TRAVIS SHAWN NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
2902 S ZENITH CIR, SALT LAKE CITY, UT 84106-2131
(802) 373-1016
Mailing address
2368 E REDONDO AVE, SALT LAKE CITY, UT 84108-3259
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
9436553-4810
UT
Other
Enumeration date
11/23/2015
Last updated
03/06/2018
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