NPI 1801422753

Jeff M Spaulding, LAT

Practitioner Athletic Trainer Port Orchard, WA

Practice location

Address: 425 Mitchell Ave, Port Orchard, WA 98366-4114
Phone: (253) 310-7953

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence A160571096 (WA)

Other Specialist/Technologist providers in Washington →

Registry record

NPI: 1801422753
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Mar 2020
Record last updated: 22 Mar 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.