NPI 1235996869

Lucas Gene Uphaus

Practitioner Athletic Trainer Puyallup, WA

Practice location

Address: 1450 5th St SE STE 4200, Puyallup, WA 98372-4604
Phone: (253) 697-3440
Mailing address: 7815 46th Ave E, Tacoma, WA 98443-1869

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence A160887994 (WA)

Other Specialist/Technologist providers in Washington →

Registry record

NPI: 1235996869
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Feb 2024
Record last updated: 29 Feb 2024

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.