IndividualActive
Amber Nelson, LAT, ATC
NPI 1558076091 · Athletic Trainer · Provo, UT
Provider details
- NPI number
- 1558076091
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT, ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 11878700-4810 (UT)
Mailing address
203 Rb
Provo, UT 84602-2118
Registry dates
- Enumerated
- 2023-01-19
- Last updated
- 2023-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.