Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BETHANY A VANDIVORT, ATC
Active Sole ProprietorBETHANY A VANDIVORT, ATC is a Athletic Trainer healthcare provider located in BRIER, Washington. NPI 1477229300 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BRIER, WA
Registration Details
- NPI Number
- 1477229300
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 20, 2021 (4.9727516128891 yrs)
- Last Updated
- Aug 20, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
23155 23RD AVE WBRIER, WA, 980368383Browse WA providers · Browse ZIP 98036
- Phone
- 4258351747
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BRIER, WA
| Name | Credential | NPI |
|---|---|---|
| DAVID-DORIAN ROSS | — | 1902367253 |
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.