Provider Demographics
NPI:1821130790
Name:HAND, JASON BRADLEY (ATC)
Entity Type:Individual
Prefix:MR
First Name:JASON
Middle Name:BRADLEY
Last Name:HAND
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 1:1500 N. WARNER ST #1044
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98416
Mailing Address - Country:US
Mailing Address - Phone:914-319-7397
Mailing Address - Fax:
Practice Address - Street 1:1500 N. WARNER ST #1044
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98416
Practice Address - Country:US
Practice Address - Phone:914-319-7397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603055502255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer