Provider Demographics
NPI:1982196531
Name:PACE, BRIANNA CALI (ATC)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:CALI
Last Name:PACE
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:BRIANNA
Other - Middle Name:CALI
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6214 N 46TH ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98407-2001
Mailing Address - Country:US
Mailing Address - Phone:425-263-7279
Mailing Address - Fax:
Practice Address - Street 1:9040A JACKSON AVE
Practice Address - Street 2:
Practice Address - City:JOINT BASE LEWIS MCCHORD
Practice Address - State:WA
Practice Address - Zip Code:98431-6874
Practice Address - Country:US
Practice Address - Phone:425-263-7279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-30
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer