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Contact Information

SEAN C WAYNE, ATC,LMT
181 WEST 600 SOUTH
BLDG 3A
OGDEN, UT84404
 Phone: 801-628-3657
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
 

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for SEAN C WAYNE · (Male)

NPI # 1851622864
Status Active
Credentials ATC,LMT
Entity Individual
Enumeration date 01/15/2010
Last updated 01/15/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 6355752-4701
  • UT License # 6355752-4810
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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