Atlanta Black
Specialist/Technologist, Athletic Trainer in Murray, UT. Individual provider (NPI-1).
NPI number1992516892
StatusActive
Last updated in NPPESJun 18, 2025
Details
- NPI
- 1992516892
- Entity type
- Individual (NPI-1)
- Name
- Atlanta Black
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 20, 2025
- Certification date
- Jun 18, 2025
- Last updated
- Jun 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
5926 S Normandy Oaks CirMurray, UT 84123-4918
Phone 435-419-0615
Mailing address
Po Box 314Monticello, UT 84535-0314
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