EVAN HAGEN, ATC, PTA

Physical Therapy Assistant

Active Individual
NPI: 1356693634

Practice Address

2610 GREENLAWN ST SE
Lacey, WA 98503

Phone: (360) 701-4573

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes P1 60167096 (WA)
Specialist/Technologist - Athletic Trainer 2255A2300X No A1 60030239 (WA)

Frequently Asked Questions

NPI 1356693634 is the National Provider Identifier for EVAN HAGEN, ATC, PTA, a Physical Therapy Assistant provider located in Lacey, WA. This NPI was enumerated on October 10, 2012.
EVAN HAGEN, ATC, PTA practices at 2610 GREENLAWN ST SE, Lacey, WA 98503.

Quick Facts

NPI
1356693634
Type
Individual
Enumerated
Oct 10, 2012
Last Updated
Oct 10, 2012

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