Individual
REILLY BREIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1110
Mailing address
PO BOX 439, TACOMA, WA 98401-0439
(570) 862-0452
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A161624263
WA
2255A2300X
Athletic Trainer
RT007124
PA
Other
Enumeration date
10/06/2016
Last updated
01/02/2026
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