Audrey Cannon, MAT, LAT, ATC
Specialist/Technologist, Athletic Trainer in Murray, UT. Individual provider (NPI-1).
NPI number1497535397
StatusActive
Last updated in NPPESJun 2, 2025
Details
- NPI
- 1497535397
- Entity type
- Individual (NPI-1)
- Name
- Audrey Cannon
- Credential
- MAT, LAT, ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 29, 2023
- Certification date
- Jun 2, 2025
- Last updated
- Jun 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
1250 E 6600 S Unit BMurray, UT 84121-2451
Phone 480-297-7107
Mailing address
1850 E 250 SHper West, Room 113
Salt Lake City, UT 84112
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