SearchWashingtonAthletic Trainer

John Banaszak, A.T.C

NPI 1962576736 · on the registry since 2006 · sole proprietor

Practice

Address
314 N 9th St
Mount Vernon, WA 98273
Phone
(360) 428-6100

Registry record

Primary taxonomy
Athletic Trainer
2255A2300X
Sex
Male
Record last updated
2007-07-08

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