NPI 1043677164

Michael Williams, ATC

Practitioner Athletic Trainer Logan, UT

Practice location

Address: 7425 Old Main Hl Utah State University, Logan, UT 84322-7425
Phone: (435) 797-3636
Fax: (435) 797-3828

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 6336751-4810 (UT)

Other Specialist/Technologist providers in Utah →

Registry record

NPI: 1043677164
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jan 2016
Record last updated: 20 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.