JESSICA WAGSTAFF, LAT, ATC

Specialist/Technologist - Athletic Trainer

Active Individual
NPI: 1639581747

Practice Address

1435 VILLAGE DR
DEPT. 2801
Ogden, UT 84408

Phone: (801) 626-6000

Specialties

Specialty Code Primary License
Specialist/Technologist - Athletic Trainer 2255A2300X Yes -

Frequently Asked Questions

NPI 1639581747 is the National Provider Identifier for JESSICA WAGSTAFF, LAT, ATC, a Specialist/Technologist - Athletic Trainer provider located in Ogden, UT. This NPI was enumerated on May 22, 2014.
JESSICA WAGSTAFF, LAT, ATC practices at 1435 VILLAGE DR, DEPT. 2801, Ogden, UT 84408.

Quick Facts

NPI
1639581747
Type
Individual
Enumerated
May 22, 2014
Last Updated
Jun 1, 2015

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