Individual
TYLER PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1203 E CAPITOL AVE, ELLENSBURG, WA 98926-9452
(509) 925-8361
Mailing address
PO BOX 718, KITTITAS, WA 98934-0718
(801) 857-7040
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160309853
WA
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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