Individual
MCKENZIE POTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
665 W CENTER ST, OREM, UT 84057-5340
(937) 751-2851
Mailing address
552 S 800 W BSMT, OREM, UT 84058-6053
(937) 751-2851
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
10071588-4810
UT
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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