Individual provider · Type 1 NPI

Bryan McCabe, ATC, NASE, PES

Student in an Organized Health Care Education/Training Program · Lakewood, WA

NPI number 1124446471 Active

Practice location

7308 Bridgeport Way W Ste 103
Lakewood, WA 98499-8000

Mailing address

2101 N Puget Sound Ave
Tacoma, WA 98406-5852

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XA1 60284579 (WA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124446471

Bryan McCabe, ATC, NASE, PES's National Provider Identifier is 1124446471, issued on Apr 3, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lakewood, WA. The record was last updated on Apr 3, 2014.