Individual
CRYSTAL DAVISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
209 W 300 N, LOGAN, UT 84321-3809
(435) 716-8535
(435) 716-8558
Mailing address
1545 TALON DR, LOGAN, UT 84321-8268
(435) 760-7906
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
8081794-4810
UT
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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