Bethany A Vandivort, ATC
NPI #1477229300 in Brier, Washington
Provider Information
- NPI Number
- 1477229300
- Entity Type
- Individual
- Name
- Bethany A Vandivort, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Aug 20, 2021
- Last Updated
- Aug 20, 2021
Practice Location
- Address
- 23155 23RD AVE W
- City
- Brier
- State
- Washington
- ZIP Code
- 98036-8383
- Phone
- (425) 835-1747
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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