Marcus Homer, ATC
Specialist/Technologist, Athletic Trainer in Hurricane, UT. Individual provider (NPI-1).
NPI number1215906367
StatusActive
Last updated in NPPESSep 17, 2008
Details
- NPI
- 1215906367
- Entity type
- Individual (NPI-1)
- Name
- Mr. Marcus Homer
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2006
- Last updated
- Sep 17, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 6651606-4810 | UT | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 096-002163 | IL |
Practice location
75 N 2260 WHurricane, UT 84737-2034
Phone 435-635-6480
Mailing address
34 WebbLa Verkin, UT 84745-5309
Phone 435-635-9742
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