Individual
LISA KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1500 N WARNER ST STOP 1044, TACOMA, WA 98416-1044
(509) 270-6157
Mailing address
8416 WILDWOOD AVE SW, LAKEWOOD, WA 98498-3548
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/29/2006
Last updated
07/02/2014
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