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Utah State Universiry

Organization Active NPI Athletic Trainer · Logan, UT

NPI 1164971925 · NPPES record last updated Sep 22, 2016

Key facts

NPI
1164971925
Entity type
Organization (NPI type 2)
Primary specialty
Athletic Trainer 2255A2300X
Legal business name
UTAH STATE UNIVERSIRY
Practice address
7425 Old Main HL
Logan, UT 84322-2400
Phone
(435) 797-3444
NPI assigned
Sep 22, 2016
Organization subpart
No

Authorized official

Name
Michael Williams, M.S., ATC
Title
Associate Ad for Athletic Training
Phone
(435) 797-3444

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Corporate family (same tax ID) 11

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Utah State University (12 organizations share this tax ID)

Locations

7425 Old Main Hl
Logan, UT 84322
Phone (435) 797-3280

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer
Group: 193200000X MULTI-SPECIALTY GROUP		 2255A2300X Yes

Addresses

Primary practice location

7425 Old Main HL
Logan, UT 84322-2400

Mailing address

7425 Old Main Hill
Logan, UT 84322-2400
Phone (435) 797-3444

Other providers in Logan, UT

All providers in Logan, UT · Athletic Trainer in Utah

Sources for this page

Verify at the official NPI Registry.