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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARIAH NICOLE LUEDTKE, ATC

Active Sole Proprietor

MARIAH NICOLE LUEDTKE, ATC is a Athletic Trainer healthcare provider located in LAKE STEVENS, Washington. NPI 1184301889 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · LAKE STEVENS, WA

Registration Details

NPI Number
1184301889
Provider Type
Individual
Gender
Female
NPI Issued
Jul 3, 2023 (3.073678435934 yrs)
Last Updated
Jul 3, 2023
Sole Proprietor
Yes

Practice Information

Address
1109 FRONTIER CIR E STE B
LAKE STEVENS, WA, 982583442
Browse WA providers · Browse ZIP 98258
Phone
4256098075
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in LAKE STEVENS, WA

Name Credential NPI
LYMAN CHARLES DROWN ATC 1326344391
MICHAEL LYCAN LAT, ATC 1821662362
SARAH ANNE MOORE ATC 1811873334
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.