NPI 1386876068

Christopher J Potvin, ATC

Practitioner Athletic Trainer Tumwater, WA

Practice location

Address: 2755 Mottman Rd SW, Tumwater, WA 98512-5684
Phone: (360) 352-5077
Fax: (360) 352-5022
Mailing address: 8750 Talon Ln E Suite C, Lacey, WA 98516-6608

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence A160049024 (WA)

Other Specialist/Technologist providers in Washington →

Registry record

NPI: 1386876068
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Aug 2009
Record last updated: 14 Aug 2009

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.