Individual
BRITNEY D BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT/ATC
Contact information
Practice address
336 SE TRANQUILLA AVE, PORT SAINT LUCIE, FL 34983-2230
(205) 612-7784
Mailing address
336 SE TRANQUILLA AVE, PORT SAINT LUCIE, FL 34983-2230
(205) 612-7784
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1050
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
N/A
—
Enumeration date
08/15/2017
Last updated
07/21/2022
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