Debra Willardson, ATC
NPI #1467513713 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1467513713
- Entity Type
- Individual
- Name
- Debra Willardson, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist, Other
- Credential
- ATC
- Enumeration Date
- Dec 12, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1825 E SOUTH CAMPUS DR
- Address 2
- ATHLETICS DEPT.
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84112-0900
- Phone
- (801) 581-4836
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other |
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