Individual
IAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4011 TALBOT RD S STE 300, RENTON, WA 98055-5791
(425) 656-5060
Mailing address
4011 TALBOT RD S STE 300, RENTON, WA 98055-5791
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160487117
WA
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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