Provider Demographics
NPI:1790392629
Name:BRATTON, WILLIAM (ATC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:BRATTON
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 1:26222 119TH DR SE
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98030-7882
Mailing Address - Country:US
Mailing Address - Phone:925-200-1972
Mailing Address - Fax:
Practice Address - Street 1:410 TERRY AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-5210
Practice Address - Country:US
Practice Address - Phone:206-266-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-24
Last Update Date:2021-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAATHL.A1.603838572255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer