Individual
MR. DAREN MCLEAN NYSTROM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MA, ATC, CSCS
Contact information
Practice address
1500 N WARNER ST, #1044, TACOMA, WA 98416-5000
(253) 879-2813
(253) 879-3634
Mailing address
6012 S 233RD PL, FF204, KENT, WA 98032-4855
(253) 879-2813
(253) 879-3634
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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