Jessica Contreras
Specialist/Technologist, Athletic Trainer in Ogden, UT. Individual provider (NPI-1).
NPI number1801547807
StatusActive
Last updated in NPPESSep 20, 2023
Details
- NPI
- 1801547807
- Entity type
- Individual (NPI-1)
- Name
- Jessica Contreras
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 12, 2022
- Certification date
- Sep 20, 2023
- Last updated
- Sep 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | UT | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
3848 Harrison BlvdOgden, UT 84408-0001
Phone 208-680-4176
Mailing address
3848 Harrison BlvdOgden, UT 84408-0001
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