Individual provider · Type 1 NPI

Adria Cannon, STUDENT, PTA

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

NPI number 1689258675 Active

Practice location

2209 N 30th St Ste 5
Tacoma, WA 98403-3352

Call (253) 446-7176 Map

Mailing address

5620 112th St E Ste 215
Puyallup, WA 98373-3206

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000X60567605 (WA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Mental Health Counselor 101YM0800XMHCA.MC.61309127 (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 1689258675

Adria Cannon, STUDENT, PTA's National Provider Identifier is 1689258675, issued on May 6, 2021. 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 Jun 5, 2026.