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

CLINTON T BOCANEGRA, LAT, ATC

Active Sole Proprietor

CLINTON T BOCANEGRA, LAT, ATC is a Athletic Trainer healthcare provider located in RENTON, Washington. NPI 1578275954 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · RENTON, WA

Registration Details

NPI Number
1578275954
Provider Type
Individual
Gender
Male
NPI Issued
Dec 19, 2022 (3.6241196855518 yrs)
Last Updated
Dec 19, 2022
License
A160982086 (WA)
Sole Proprietor
Yes

Practice Information

Address
737 LOGAN AVE N
RENTON, WA, 980575535
Browse WA providers · Browse ZIP 98057
Phone
4254781774
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in RENTON, WA

Name Credential NPI
THOMAS FRANKLIN WALKER AT EMT 1902818057
MR. LARRY GENE BROWN ATC 1417169970
MS. GENIQUA M HARRIS ATC 1174898225
CHRISTOPHER JON NEUMANN ATC 1891131397
JESSE LEE FREE MA, LAT, ATC 1710362967
LUCY JOHNSON ATC 1508210154
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.