Mikaela Sue Jorgensen, MAT, LAT, ATC
Mikaela Sue Jorgensen, MAT, LAT, ATC is an Athletic Trainer in Provo, Utah. Licensed in Utah. Registered with an NPI since 2023.
- Licensed in
- UT
- In the registry since
- 2023
What do these letters mean?
Practice location Address checks out
150 E Bulldog BlvdProvo, UT 84604-2676
Phone: (801) 422-4636
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Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 13416952-4810 (UT) |
|---|
Record details
| NPI number | 1639944408 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MAT , LAT , ATC |
| Sole proprietor | No |
| NPI enumerated | November 21, 2023 |
| Last updated in NPPES | November 21, 2023 |
| Certification date | November 21, 2023 |
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