Crystal Davisson, ATC
Specialist/Technologist, Athletic Trainer in Logan, UT. Individual provider (NPI-1).
NPI number1962817320
StatusActive
Last updated in NPPESJun 24, 2014
Details
- NPI
- 1962817320
- Entity type
- Individual (NPI-1)
- Name
- Crystal Davisson
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2014
- Last updated
- Jun 24, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 8081794-4810 | UT | Yes |
Practice location
209 W 300 NLogan, UT 84321-3809
Phone 435-716-8535 · Fax 435-716-8558
Mailing address
1545 Talon DrLogan, UT 84321-8268
Phone 435-760-7906
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