Teddi Louella Sophia Reese, ATC
Individual provider Active NPI Athletic Trainer · Brewster, WA
NPI 1770013153 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1770013153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 57 Valley Rd
Brewster, WA 98812-9511 - Phone
- (509) 846-3883
- NPI assigned
- Jun 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
57 Valley Rd
Brewster, WA 98812-9511
Mailing address
57 Valley Rd
Brewster, WA 98812-9511
Phone (509) 846-3883
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- Robert Rosenthal
- Ariel Logan Rost
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All providers in Brewster, WA · Athletic Trainer in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.