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

BUD BANNON, ATC

Active Sole Proprietor

BUD BANNON, ATC is a Athletic Trainer healthcare provider located in FEDERAL WAY, Washington. NPI 1598141681 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · FEDERAL WAY, WA

Registration Details

NPI Number
1598141681
Provider Type
Individual
Gender
Male
NPI Issued
Jul 31, 2015 (11.012570779424 yrs)
Last Updated
Jul 31, 2015
License
A160293092 (WA)
Sole Proprietor
Yes

Practice Information

Address
952 SW CAMPUS DR
09-E1
FEDERAL WAY, WA, 980235056
Browse WA providers · Browse ZIP 98023
Phone
3606213908
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in FEDERAL WAY, WA

Name Credential NPI
PAUL LOMBARDO A.T.C. 1407970551
ANDREW KRAFT ATC 1467837260
SHONA CATHERINE RAMSAY 1679104590
MADISEN FORS ATC 1376275867
ANNALYSE L PAYNE 1790465441
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.