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Organization
PERSONALIZED HEALTH SOLUTIONS, LLC
Active
Organization
PERSONALIZED HEALTH SOLUTIONS, LLC
Active
Other names
Prime Sports Institute
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY GUSTAFSON LAT, ATC, LMT (OWNER)
(360) 922-3120
Entity
Organization
Contact information
Practice address
1704 N STATE ST, BELLINGHAM, WA 98225-4605
(360) 922-3120
(360) 504-0086
Mailing address
1704 N STATE ST, BELLINGHAM, WA 98225-4605
(360) 922-3120
(360) 504-0086
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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