Individual
MR. TRAE TASHIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED, ATC, CSCS
Contact information
Practice address
1 NATIONAL CHAMPIONSHIP DRIVE, MCKALE CENTER N108, TUCSON, AZ 85721
(520) 621-3040
Mailing address
3830 N BORG LANE, TUCSON, AZ 86716
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0519
AZ
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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