Individual
MRS. MICHELLE DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
3895 HARRISON BLVD, OGDEN, UT 84403-2311
(801) 387-2080
Mailing address
2828 HARRISON BLVD, OGDEN, UT 84403-0325
(801) 737-8656
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
7771101-4810
UT
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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