Individual
AUSTIN ROEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5215 36TH AVE E, TACOMA, WA 98443-1519
(801) 391-7695
Mailing address
5215 36TH AVE E, TACOMA, WA 98443-1519
(801) 391-7695
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A161532453
WA
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/12/2018
Last updated
01/29/2026
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