Individual
MR. JAMES LAWRENCE JADLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
550 14TH AVE, SEATTLE, WA 98112
(206) 296-5432
Mailing address
PO BOX 222000, SEATTLE, WA 98122-1090
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
003709
NY
2255A2300X
Athletic Trainer
Primary
A160977313
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000032758
BOCATC
—
Enumeration date
06/10/2021
Last updated
06/10/2021
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