Provider Demographics
NPI:1477673978
Name:SLOSSON, WILLIAM V (ATC)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:V
Last Name:SLOSSON
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8568
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98509-8568
Mailing Address - Country:US
Mailing Address - Phone:360-789-3966
Mailing Address - Fax:360-412-4839
Practice Address - Street 1:350 RIVER RIDGE DR SE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98513-6830
Practice Address - Country:US
Practice Address - Phone:360-412-4820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer