NICHOLAS BRADELY BAYS COSTA

TACOMA, WA
NPI1639737877
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WA  A161430169)
Enumeration Date2019-06-03
Last Update Date2025-11-05
Business Address
NICHOLAS BRADELY BAYS COSTA LAT, ATC
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 360-982-7233
Mailing Address
NICHOLAS BRADELY BAYS COSTA LAT, ATC
208 SW 319TH LN APT G101
FEDERAL WAY, WA 98023-4675
Phone number: 360-982-7233
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