DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. LISA MORTENSEN, MS ATC

Active Sole Proprietor

MRS. LISA MORTENSEN, MS ATC is a Athletic Trainer healthcare provider located in PLEASANT GROVE, Utah. NPI 1770643975 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · PLEASANT GROVE, UT

Registration Details

NPI Number
1770643975
Provider Type
Individual
Gender
Female
NPI Issued
Dec 11, 2006 (19.639219427326 yrs)
Last Updated
Jul 8, 2007
License
6332468-4810 (UT)
Sole Proprietor
Yes

Practice Information

Address
405 S 100 E STE 102
PLEASANT GROVE, UT, 840622751
Browse UT providers · Browse ZIP 84062
Phone
8017859991
Fax
8017859417
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in PLEASANT GROVE, UT

Name Credential NPI
KRISTIN POND ATC 1427107051
HEATHER DOWNS 1972705549
JUSTIN DECKER 1700442068
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.