MRS. Lisa Mortensen, MS ATC
NPI #1770643975 in Pleasant Grove, Utah
Provider Information
- NPI Number
- 1770643975
- Entity Type
- Individual
- Name
- MRS. Lisa Mortensen, MS ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MS ATC
- Enumeration Date
- Dec 11, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 405 S 100 E STE 102
- City
- Pleasant Grove
- State
- Utah
- ZIP Code
- 84062-2751
- Phone
- (801) 785-9991
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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