Individual
JENNIFER BEATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1360 COUGAR WAY, PULLMAN, WA 99163
(360) 801-6024
Mailing address
PO BOX 372, BELFAIR, WA 98528-0372
(360) 801-6024
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029-676-02
KAISER PERMANENTE
WA
Enumeration date
04/08/2020
Last updated
04/08/2020
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