Provider Demographics
NPI:1134841133
Name:ATCHISON, BRITTANY TAYLOR (DPT)
Entity type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:TAYLOR
Last Name:ATCHISON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242O S UNION AVE STE 130
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-1306
Mailing Address - Country:US
Mailing Address - Phone:253-752-1070
Mailing Address - Fax:253-752-2315
Practice Address - Street 1:242O S UNION AVE STE 130
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-1306
Practice Address - Country:US
Practice Address - Phone:253-752-1070
Practice Address - Fax:253-752-2315
Is Sole Proprietor?:No
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS61325296225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA61325296OtherLICENSED PHYSICAL THERAPIST