Individual
AMANDA VAKERICS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, AT/L
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-6674
Mailing address
3844 33RD AVE SW, SEATTLE, WA 98126-2514
(734) 812-8487
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160417499
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000008001
BOARD OF CERTIFICATION, INC.
—
01
—
A160417499
WASHINGTON STATE DEPARTMENT OF HEALTH, ATHLETIC TRAINER LICENSE
WA
Enumeration date
11/04/2014
Last updated
11/04/2014
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