Individual
JAYSON RANDALL BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC, CSCS
Contact information
Practice address
2220 WESTRIDGE AVE W APT K103, TACOMA, WA 98466-1858
(949) 307-5620
Mailing address
2220 WESTRIDGE AVE W APT K103, TACOMA, WA 98466-1858
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATHL.A1.61305517
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000037901
ATC
CA
Enumeration date
11/20/2019
Last updated
10/24/2025
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