Individual
ASHLY JANE WEIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
BRIGHAM YOUNG UNIVERSITY, 1150 N 150 E, PROVO, UT 84602
(801) 422-4636
Mailing address
BRIGHAM YOUNG UNIVERSITY, 1150 N 150 E, PROVO, UT 84606
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
12929506-4810
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12929506-4810
PRIVATE INSURANCE
UT
Enumeration date
08/11/2022
Last updated
08/11/2022
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