Individual
VINCE A POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
2755 MOTTMAN RD SW, TUMWATER, WA 98512-5684
(360) 352-5077
(360) 352-5022
Mailing address
2755 MOTTMAN RD SW, TUMWATER, WA 98512-5684
(360) 352-5077
(360) 352-5022
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160068897
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A160068897
STATE LICENSE
WA
Enumeration date
08/14/2009
Last updated
08/14/2009
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