Individual
GENEVIEVE Y GIRDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.C.
Contact information
Practice address
2755 MOTTMAN RD SW, TUMWATER, WA 98512-5684
(360) 352-5077
(360) 352-5022
Mailing address
8750 TALON LN E, SUITE C, LACEY, WA 98516-6608
(360) 456-1210
(360) 459-9954
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A1600071447
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000000087
BOARD OF CERTIFICATION, INC.
WA
01
—
A1600071447
STATE LICENSE
WA
Enumeration date
08/13/2009
Last updated
08/14/2009
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