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Bud Bannon, ATC
NPI 1598141681 · on the registry since 2015 · sole proprietor
Practice
- Address
- 952 Sw Campus Dr
09-E1
Federal Way, WA 98023 - Phone
- (360) 621-3908
- Organisation at this address
- Ride-Aide Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-07-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington