Individual
KATRINA MARIE BROCKSOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
408 SUNNYHILL RD W, BREMERTON, WA 98312-3112
(360) 516-8371
Mailing address
408 SUNNYHILL RD W, BREMERTON, WA 98312-3112
(360) 516-8371
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/01/2024
Last updated
01/22/2025
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