Individual
MARISA ANN MANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
14520 SE 196TH PL, RENTON, WA 98058-9415
(206) 612-9937
Mailing address
14520 SE 196TH PL, RENTON, WA 98058-9415
(206) 612-9937
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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