Individual
NICHOLAS BRADELY BAYS COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(360) 982-7233
Mailing address
208 SW 319TH LN APT G101, FEDERAL WAY, WA 98023-4675
(360) 982-7233
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A161430169
WA
Other
Enumeration date
06/03/2019
Last updated
11/05/2025
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