John Burton

Individual provider Active NPI Athletic Trainer · Pullman, WA

NPI 1801440987 · NPPES record last updated Jul 28, 2019

Key facts

NPI
1801440987
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
1880 NE Terre View Dr Unit E318
Pullman, WA 99163-5909
Phone
(602) 919-5441
NPI assigned
Jul 28, 2019
Sex
Male
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)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Yes

Addresses

Primary practice location

1880 NE Terre View Dr Unit E318
Pullman, WA 99163-5909

Mailing address

1880 NE Terre View Dr Unit E318
Pullman, WA 99163-5909
Phone (602) 919-5441

Other providers in Pullman, WA

All providers in Pullman, WA · Athletic Trainer in Washington

Sources for this page

Verify at the official NPI Registry.