Individual
KEYTON R GINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED, LAT, ATC, CES
Contact information
Practice address
9350 S 150 E STE 460, SANDY, UT 84070-5502
(801) 858-3715
(801) 323-9546
Mailing address
9350 S 150 E STE 460, SANDY, UT 84070-5502
(801) 858-3715
(801) 323-9546
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
11330683-4810
UT
Other
Enumeration date
04/17/2019
Last updated
07/09/2021
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