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

BRENDA LYNN BLACK, AT,C

Active Sole Proprietor

BRENDA LYNN BLACK, AT,C is a Athletic Trainer healthcare provider located in MILL CREEK, Washington. NPI 1871681130 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · MILL CREEK, WA

Registration Details

NPI Number
1871681130
Provider Type
Individual
Gender
Female
NPI Issued
Oct 11, 2006 (19.807953537 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
1508 136TH ST SE
MILL CREEK, WA, 980125310
Browse WA providers · Browse ZIP 98012
Phone
4253857038
Fax
4253857002
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in MILL CREEK, WA

Name Credential NPI
ERIN MICHELLE BREMOND MS, ATC 1538547153
KALYN M HASENOEHRL MS, LAT, ATC 1205364767
AUSTIN KUNISHIGE ATC 1184181307
MRS. CATHERINE PHIPPS LAT, ATC 1780224782
SHANE D MARQUARDT 1538847629
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.