Individual provider · Type 1 NPI

Debra Willardson, ATC

Other Specialist/Technologist · Salt Lake City, UT

NPI number 1467513713 Active

Practice location

1825 E South Campus Dr, Athletics Dept.
Salt Lake City, UT 84112-0900

Call (801) 581-4836 Map

Fax (801) 585-5005

Specialties and licenses

TaxonomyCodeLicense
Other Specialist/Technologist Primary 246Z00000X1216584810 (UT)

Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

2 other providers at this address

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About NPI 1467513713

Debra Willardson, ATC's National Provider Identifier is 1467513713, issued on Dec 12, 2006. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 8, 2007.