Sherrill Hedlund, ATC
Individual provider Active NPI Athletic Trainer · Kent, WA
NPI 1124539655 · NPPES record last updated Oct 24, 2017
Key facts
- NPI
- 1124539655
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 000100519 (WA)
- Practice address
- 14333 SE 256TH PL
Kent, WA 98042-3622 - Phone
- (253) 631-0729
- NPI assigned
- Oct 24, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000100519 | WA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 000100519 | WA | Yes |
Addresses
Primary practice location
14333 SE 256TH PL
Kent, WA 98042-3622
Mailing address
14333 SE 256TH PL
Kent, WA 98042-3622
Phone (253) 631-0729
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.