Individual
MARIAH NICOLE LUEDTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1109 FRONTIER CIR E STE B, LAKE STEVENS, WA 98258-3442
(425) 609-8075
Mailing address
13800 60TH ST SE, SNOHOMISH, WA 98290-9421
(425) 275-7471
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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