NPI 1114149556

Fawn Michel, ATC

Practitioner Athletic Trainer Logan, UT

Practice location

Address: 7400 Old Main Hl, Logan, UT 84322-7400
Phone: (435) 797-3636
Fax: (435) 797-8032

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 6334257-4810 (UT)

Other Specialist/Technologist providers in Utah →

Registry record

NPI: 1114149556
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 May 2007
Record last updated: 8 Jul 2007

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.