NPI 1023547866

Robert Banda, ATC

Practitioner Athletic Trainer Tacoma, WA

Practice location

Address: Madigan Army Medical Center 9040 Jackson Ave, Attn: McHj-Clq-C, Tacoma, WA 98431-1100
Phone: (757) 358-2356

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT002540 (GA)

Other Specialist/Technologist providers in Washington →

Registry record

NPI: 1023547866
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2017
Record last updated: 6 Jun 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.