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Mikaela Jorgensen, MAT, LAT, ATC
NPI 1639944408 · on the registry since 2023
Practice
- Address
- 150 E Bulldog Blvd
Provo, UT 84604 - Phone
- (801) 422-4636
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah