NPI 1427464288

Brennon King, ATCCES

Practitioner Athletic Trainer Orcutt, CA

Practice location

Address: 610 Pinal Ave, Orcutt, CA 93455-5302
Phone: (425) 248-0315
Mailing address: 339 Jaycee Dr, San Luis Obispo, CA 93405-1243

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2000013678 (CA)

Other Specialist/Technologist providers in California →

Registry record

NPI: 1427464288
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jul 2014
Record last updated: 1 Jul 2014

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.