JASON R BERGLUND

TACOMA, WA
NPI1750668141
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WA  A160590112)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36002146A)
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.002661)
Enumeration Date2011-11-14
Last Update Date2020-08-13
Business Address
JASON R BERGLUND ATC
6050 TACOMA MALL BLVD STE 300
TACOMA, WA 98409-6828
Phone number: 253-851-5200
Mailing Address
JASON R BERGLUND ATC
6050 TACOMA MALL BLVD STE 300
TACOMA, WA 98409-6828
Phone number: 253-851-5200