COURTNEY DIANE KENEFICK

SALT LAKE CITY, UT
NPI1144705716
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT  10770591-4810)
Enumeration Date2018-09-30
Last Update Date2018-09-30
Business Address
COURTNEY DIANE KENEFICK ATC
201 PRESIDENTS CIR
SALT LAKE CITY, UT 84112-9049
Phone number: 801-585-3861
Mailing Address
COURTNEY DIANE KENEFICK ATC
9 VISTA DR
SHREWSBURY, MA 01545-2025
Phone number: 774-249-9293
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