Christopher Jay Hortin
Student in an Organized Health Care Education/Training Program in Provo, UT. Individual provider (NPI-1).
NPI number1114479698
StatusActive
Last updated in NPPESApr 19, 2017
Details
- NPI
- 1114479698
- Entity type
- Individual (NPI-1)
- Name
- Christopher Jay Hortin
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 31, 2016
- Last updated
- Apr 19, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | UT | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | UT |
Practice location
106 SfhProvo, UT 84602
Phone 435-709-1802
Mailing address
106 SfhProvo, UT 84602
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