Individual provider · Type 1 NPI

Latisha Annette Black, CDPT, BAS

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

NPI number 1427615905 Active

Practice location

1111 Fawcett Ave Ste 200
Tacoma, WA 98402-2029

Call (253) 274-0484 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XC060492588 (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 1427615905

Latisha Annette Black, CDPT, BAS's National Provider Identifier is 1427615905, issued on May 21, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tacoma, WA. The record was last updated on May 21, 2019.