Individual
MADISON PAIGE HIATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC
Contact information
Practice address
9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-0001
(253) 968-1110
Mailing address
9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-0001
(253) 968-1110
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A161268622
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
ID
Other
Enumeration date
03/20/2020
Last updated
05/07/2024
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