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Contact Information

AUDREY CANNON, MAT, LAT, ATC
1250 E 6600 S UNIT B
MURRAY, UT84121-2451
 Phone: 480-297-7107
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for AUDREY CANNON · (Female)

NPI # 1497535397
Status Active
Credentials MAT, LAT, ATC
Entity Individual
Enumeration date 09/29/2023
Last updated 06/02/2025 - More than a year ago
Sole proprietor 1 No
Identifiers Not Available
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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