Individual
MR. MATTHEW JEROME BUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
901 12TH AVE, ATHLETICS BUILDING, SEATTLE, WA 98122-4411
(206) 296-5432
(206) 296-2154
Mailing address
901 12TH AVENUE, PO BOX 222000, SEATTLE, WA 98122
(206) 296-5432
(206) 296-2154
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A1 60047682
WA
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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