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Contact Information

MIRANDA GREER, ATC, LAT
1141 SFH
PROVO, UT84602-2246
 Phone: 801-362-0120
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for MIRANDA GREER · (Female)

NPI Number 1689184053
Status Active
Credentials ATC, LAT
Entity Individual
Enumeration date 10/11/2017
Last updated 10/11/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 9875115
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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