Mr. Clinton George Edvalson, MS, LAT, ATC
Mr. Clinton George Edvalson, MS, LAT, ATC is an Athletic Trainer in Provo, Utah. Licensed in Nevada and Utah. Registered with an NPI since 2007.
- Licensed in
- NV, UT
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
1034 N 500 WProvo, UT 84604-3380
Phone: (801) 314-4051
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Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 6364162-4810 (UT) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X · Licence 0506194 (NV) |
Record details
| NPI number | 1801930300 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MS , LAT , ATC |
| Sole proprietor | No |
| NPI enumerated | February 16, 2007 |
| Last updated in NPPES | June 23, 2022 |
| Certification date | June 23, 2022 |
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