Individual
MR. CHRISTOPHER M CORNISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, ART, CES
Contact information
Practice address
14800 STARFIRE WAY, TUKWILA, WA 98188-8502
(206) 794-7250
Mailing address
14800 STARFIRE WAY, TUKWILA, WA 98188-8502
(206) 794-7250
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160071103
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A160071103
ATHLETIC TRAINING
WA
Enumeration date
05/17/2012
Last updated
05/17/2012
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