Individual
COLIN MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3719 88TH ST NE STE A, MARYSVILLE, WA 98270-7228
(360) 659-9621
Mailing address
923 112TH ST SW APT D320, EVERETT, WA 98204-7870
(406) 480-0477
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61442220
WA
2255A2300X
Athletic Trainer
2000050565
—
376K00000X
Nurse's Aide
353331
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
OR
Other
Enumeration date
02/19/2019
Last updated
05/24/2023
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