Krista Michelle Prusak, ATC
NPI #1699186726 in Spanish Fork, Utah
Provider Information
- NPI Number
- 1699186726
- Entity Type
- Individual
- Name
- Krista Michelle Prusak, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- May 12, 2014
- Last Updated
- May 12, 2014
Practice Location
- Address
- 3026 E 1610 S
- City
- Spanish Fork
- State
- Utah
- ZIP Code
- 84660-8921
- Phone
- (801) 310-9987
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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