Individual
BRANDY ALEXANDRA THOLSTRUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-3612
(253) 968-1110
Mailing address
7312 39TH CT SE, LACEY, WA 98503-4484
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160770010
WA
Other
Enumeration date
11/25/2024
Last updated
10/18/2025
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