Individual
KRISTEN BRIDGEWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
516 HIGH ST, BELLINGHAM, WA 98225-5996
(360) 650-3188
Mailing address
3288 CRESTLINE DR, FOREST GROVE, OR 97116-1076
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A161116207
WA
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
OR
Other
Enumeration date
02/22/2019
Last updated
09/29/2023
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