NPI 1790341113
Brandon Tyler Stott, ATCLAT
Practice location
- Address
- 17023 11th Ave NE, Arlington, WA 98223
- Phone
- (360) 652-4505
- Mailing address
- 1619 188th Street NE, Arlington, WA 98223
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1790341113
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 May 2019
- Record last updated
- 29 Jan 2020
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.