Individual
SCOTT ALEXANDER PACKEBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13425 SE 30TH ST STE 2C, BELLEVUE, WA 98005-4450
(425) 252-3908
Mailing address
22500 SE 56TH ST APT 18-301, ISSAQUAH, WA 98029-5266
(661) 331-4473
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A161315490
WA
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
12/26/2021
Last updated
07/21/2022
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