Individual
HOLLY HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
7200 S 180TH ST STE 101, TUKWILA, WA 98188-5548
(805) 878-4707
Mailing address
5621 22ND AVE NW APT 214, SEATTLE, WA 98107-3470
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000023096
CA
405300000X
Prevention Professional
2000023096
CA
Other
Enumeration date
03/08/2018
Last updated
05/25/2023
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