Individual
AVERY AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E UNIVERSITY WAY, ELLENSBURG, WA 98926-7500
(509) 307-2820
Mailing address
204 BEL AIR DR, YAKIMA, WA 98908-3304
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
61567912
WA
Other
Enumeration date
02/19/2021
Last updated
12/09/2024
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