IndividualActive
Annie Christofferson, MS, ATC, LAT
NPI 1578312468 · Athletic Trainer · Provo, UT
Provider details
- NPI number
- 1578312468
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, ATC, LAT
- Sex
- Female
- Sole proprietor
- No
- License
- 13982690-4810 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
173 Richards Building
Provo, UT 84602-2000
Phone: (801) 422-1628
Approximate (ZIP-level) locationGet directions
Mailing address
11306 N Brookline Dr
Highland, UT 84003-4810
Registry dates
- Enumerated
- 2024-05-14
- Last updated
- 2024-05-14
- Certified
- 2024-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.