Madison Rayne Frazee, LAT, ATC
NPI #1093212540 in Pullman, Washington
Provider Information
- NPI Number
- 1093212540
- Entity Type
- Individual
- Name
- Madison Rayne Frazee, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT, ATC
- Enumeration Date
- Apr 11, 2018
- Last Updated
- Apr 2, 2019
Practice Location
- Address
- 1455 NE BRANDI WAY APT FF201
- City
- Pullman
- State
- Washington
- ZIP Code
- 99163-7132
- Phone
- (425) 418-2388
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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